# WELLNESS EARLY DEVELOPMENT

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

## Provider details

- **NPI number:** 1538893649
- **Authorized official:** MRS. UBAH ISSE MOHAMUD (CEO)
- **Authorized official phone:** (651) 322-0152

## Contact information

- **Practice address:** 7800 METRO PKWY STE 300, BLOOMINGTON, MN 55425-1509
- **Practice address phone:** (651) 322-0152
- **Mailing address:** 7800 METRO PKWY STE 300, BLOOMINGTON, MN 55425-1509
- **Mailing address phone:** (651) 322-0152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/13/2022
- **Last updated:** 07/13/2022