Provider Demographics
NPI:1669918280
Name:CROSS CULTURAL CARE CENTER
Entity type:Organization
Organization Name:CROSS CULTURAL CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMINA
Authorized Official - Middle Name:ABDULLAHI
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-666-5000
Mailing Address - Street 1:7001 78TH AVE N
Mailing Address - Street 2:UNIT #100
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55445-2783
Mailing Address - Country:US
Mailing Address - Phone:763-951-2722
Mailing Address - Fax:763-951-2309
Practice Address - Street 1:7001 78TH AVE N
Practice Address - Street 2:UNIT #100
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55445-2783
Practice Address - Country:US
Practice Address - Phone:763-951-2722
Practice Address - Fax:763-951-2309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-07
Last Update Date:2017-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1082880261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care