Provider Demographics
NPI:1386283737
Name:ALLIED HEALING CENTER INC
Entity type:Organization
Organization Name:ALLIED HEALING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ABDIKHALIQ
Authorized Official - Middle Name:
Authorized Official - Last Name:JIBRIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-681-4276
Mailing Address - Street 1:2104 PARK AVE STE 102D
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-6607
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2104 PARK AVE STE 102D
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-6607
Practice Address - Country:US
Practice Address - Phone:773-681-4276
Practice Address - Fax:612-444-8956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-02
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency