Provider Demographics
NPI:1467117796
Name:OPTIMAL SOLUTION SERVICES
Entity Type:Organization
Organization Name:OPTIMAL SOLUTION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:YUSSUF
Authorized Official - Last Name:MOHAMUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-986-8190
Mailing Address - Street 1:276 DAYTON AVE APT 102
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-1832
Mailing Address - Country:US
Mailing Address - Phone:612-986-8190
Mailing Address - Fax:
Practice Address - Street 1:276 DAYTON AVE APT 102
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-1832
Practice Address - Country:US
Practice Address - Phone:612-986-8190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health