Provider Demographics
NPI:1639765654
Name:NOBLE CENTER INC
Entity Type:Organization
Organization Name:NOBLE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MUHUBA
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:OSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:612-483-2888
Mailing Address - Street 1:3614 GRAND AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55409-1102
Mailing Address - Country:US
Mailing Address - Phone:612-483-2888
Mailing Address - Fax:
Practice Address - Street 1:3614 GRAND AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55409-1102
Practice Address - Country:US
Practice Address - Phone:612-483-2888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-14
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)