Organization
STATIS WELLNESS L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDI HASSAN (OWNER)
(207) 518-3425
Entity
Organization
Contact information
Practice address
1615 EDGEMONT ST, SAINT PAUL, MN 55130-4632
(207) 518-3425
Mailing address
1615 EDGEMONT ST, SAINT PAUL, MN 55130-4632
(207) 518-3425
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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