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Organization
RALPHVAN HEALTHCARE LLC
Active
Organization
RALPHVAN HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL OMOMO (CEO)
(631) 533-2990
Entity
Organization
Contact information
Practice address
7400 METRO BLVD STE 215, EDINA, MN 55439-2321
(631) 533-2990
Mailing address
7400 METRO BLVD STE 215, EDINA, MN 55439-2321
(631) 533-2990
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
03/17/2026
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