Organization · NPI-2

Golden Wellness Center LLC

Substance Abuse Rehabilitation Facility · Minneapolis, MN

NPI number1871182212
StatusActive
Last updated in NPPESJan 11, 2021

Details

NPI
1871182212
Entity type
Organization (NPI-2)
Legal business name
Golden Wellness Center LLC
Organization subpart
No
Enumeration date
Jan 11, 2021
Certification date
Jan 11, 2021
Last updated
Jan 11, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
324500000X Substance Abuse Rehabilitation Facility––Yes

Practice location

2805 Golden Valley Rd
Minneapolis, MN 55411-2811

Phone 612-567-2256

Mailing address

2805 Golden Valley Rd
Minneapolis, MN 55411-2811

Authorized official

Anquam Mahamoud
Ceo
6125672256

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