Organization
WELLNESS GROUP HOME CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIRASHID J ARAB (OWNER)
(612) 205-6554
Entity
Organization
Contact information
Practice address
2606 64TH AVE N, BROOKLYN CENTER, MN 55430-2007
(612) 205-6554
Mailing address
2606 64TH AVE N, BROOKLYN CENTER, MN 55430-2007
(612) 205-6554
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/30/2019
Last updated
04/27/2020
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