Provider Demographics
NPI:1043099724
Name:ACCORD HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:ACCORD HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHIMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAJJABI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-669-2556
Mailing Address - Street 1:4124 QUEBEC AVE N STE 300
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:MN
Mailing Address - Zip Code:55427-1241
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4124 QUEBEC AVE N STE 300
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:MN
Practice Address - Zip Code:55427-1241
Practice Address - Country:US
Practice Address - Phone:612-699-2556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility