# WELLNESSRX HOMECARE

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

## Provider details

- **NPI number:** 1568788321
- **Authorized official:** LIBAN MUSE (OWNER)
- **Authorized official phone:** (612) 242-4521

## Contact information

- **Practice address:** 2326 SILVER LN APT 101, NEW BRIGHTON, MN 55112-7418
- **Practice address phone:** (612) 242-4521
- **Mailing address:** 2326 SILVER LN APT 101, NEW BRIGHTON, MN 55112-7418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 348301 | MN | Yes |

## Other

- **Enumeration date:** 04/19/2010
- **Last updated:** 12/22/2011
