Organization
MADINA WELLNESS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAWO ODAWAAY (OWNER)
(612) 770-3502
Entity
Organization
Contact information
Practice address
1230 EAGAN INDUSTRIAL RD STE 103, EAGAN, MN 55121-1243
(612) 770-3502
Mailing address
12505 26TH AVE N, PLYMOUTH, MN 55441-2805
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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