Amicable Service Center Inc
Organization Active NPI Early Intervention Provider Agency · Saint Paul, MN
NPI 1154119857 · NPPES record last updated Apr 30, 2025
Key facts
- NPI
- 1154119857
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- Legal business name
- AMICABLE SERVICE CENTER INC
- Practice address
- 360 Sherman St Ste B40-D
Saint Paul, MN 55102-2564 - Phone
- (612) 607-9569
- NPI assigned
- Apr 30, 2025
- Organization subpart
- No
Authorized official
- Name
- Yahya Mohamed
- Title
- Owner
- Phone
- (612) 607-9569
National Provider Directory
Locations
360 Sherman St
Ste B40D
Saint Paul, MN 55102
Phone (612) 607-9569
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Yes |
Addresses
Primary practice location
360 Sherman St Ste B40-D
Saint Paul, MN 55102-2564
Mailing address
360 Sherman St Ste B40-D
Saint Paul, MN 55102-2564
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All providers in Saint Paul, MN · Early Intervention Provider Agency in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.