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Contact Information

DOMA OH LLC
1607 MOUNT CURVE AVE
MINNEAPOLIS, MN55403-1015
 Phone: 612-695-6041
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Disabilities

261QD1600X
Indicates primary specialty

NPI Profile & details for DOMA OH LLC

NPI Number 1427890128
LBN Legal business name DOMA OH LLC
Authorized official BLAKE ELLIOTT - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/12/2024
Last updated 06/12/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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