NPI 1821533779

Minneosta Wellness Center LLC

Organisation Point of Service Saint Paul, MN

Practice location

Address: 808 Berry St APT 192, Saint Paul, MN 55114-1082
Phone: (612) 618-5841
Fax: (651) 646-0950

Authorised official

Name: Ubah Abubaker Shirwa
Title: Owner
Phone: (612) 618-5841

Registered specialties (2)

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 1083995-1-HCBS (MN)

Other Point of Service providers in Minnesota →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence 1083995-1-HCBS (MN)

Other Community/Behavioral Health providers in Minnesota →

Registry record

NPI: 1821533779
Entity type: Organization
NPI issued: 2 Jan 2017
Record last updated: 2 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.