Provisional Health and Rehabilitative Services LLC
Provisional Health and Rehabilitative Services LLC is a Clinic/Center in Columbia Heights, Minnesota. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4111 Central Ave NE Ste 208BColumbia Heights, MN 55421-2955
Phone: (763) 205-3258
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1841966116 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ali Jama — Owner · (952) 687-9064 |
| NPI enumerated | August 18, 2021 |
| Last updated in NPPES | February 12, 2026 |
| Certification date | February 12, 2026 |
| Mailing address | 4111 Central Ave Ne Ste 208b, Columbia Heights, MN 55421-2955 |
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