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Eagan Hope Wellness Services LLC

Community/Behavioral Health in Eagan, MN. Organization (NPI-2).

NPI number1982190773
StatusActive
Last updated in NPPESOct 9, 2024

Details

NPI
1982190773
Entity type
Organization (NPI-2)
Legal business name
Eagan Hope Wellness Services LLC
Organization subpart
Yes
Enumeration date
Jul 5, 2018
Certification date
Oct 9, 2024
Last updated
Oct 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health–MNYes

Other names

  • Eagan Hope Wellness Services LLC (Doing Business As)

Practice location

4651 Nicols Rd Ste 206
Eagan, MN 55122-3424

Phone 514-522-2876 · Fax 651-454-8328

Mailing address

4706 Bristol Blvd
Eagan, MN 55123-3989

Phone 651-239-8745

Authorized official

Aeysha Nmi Nur
Director
6512398745

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