African American Survivor Services

LBN: African American Survivor Services
African American Survivor Services is an health care organization with primary practice located at 285 Dale St N Ste 100 , Saint Paul MN 55103-2413. The organization recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as the primary health care specialty. African American Survivor Services can be contacted via phone (612) 306-3416, or through Nelson, Ivan Louis via phone (612) 306-3416.

Contact Information

Primary practice address
285 Dale St N Ste 100 Saint Paul MN 55103-2413
Phone: (612) 306-3416
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Ivan Louis CPRSR-FE
Phone: (612) 306-3416

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prevention Professional 405300000X

Profile Details

NPI number 1386530178
LBN Legal business name African American Survivor Services
DBA Doing business as
Authorized official Nelson, Ivan Louis CPRSR-FE
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2025
Last updated Jun 17th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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