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Organization
WELLNESS HOME INC
Active
Organization
WELLNESS HOME INC
Active
Other names
Wellness Home Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAPHAEL OMOTO CNP (DIRECTOR)
(240) 479-9301
Entity
Organization
Contact information
Practice address
7832 SUGARLOAF TRL, BROOKLYN PARK, MN 55444-1935
(240) 479-9301
Mailing address
7832 SUGARLOAF TRL, BROOKLYN PARK, MN 55444-1935
(240) 479-9301
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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