# MADINA WELLNESS CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083105209
- **Authorized official:** HAWO ODAWAAY (OWNER)
- **Authorized official phone:** (612) 770-3502

## Contact information

- **Practice address:** 1230 EAGAN INDUSTRIAL RD STE 103, EAGAN, MN 55121-1243
- **Practice address phone:** (612) 770-3502
- **Mailing address:** 12505 26TH AVE N, PLYMOUTH, MN 55441-2805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/23/2018
- **Last updated:** 05/23/2018