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Organization
BENEVOLENCE LLC
Active
Organization
BENEVOLENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMUD AHMED (CEO)
(507) 517-9142
Entity
Organization
Contact information
Practice address
18 WOODLAKE DR SE, ROCHESTER, MN 55904-6250
(507) 517-9142
Mailing address
18 WOODLAKE DR SE, ROCHESTER, MN 55904-6250
(507) 517-9142
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
261Q00000X
Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
Other
Enumeration date
04/18/2022
Last updated
05/16/2025
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