Organization
REGIONS WAIVER SERVICES L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASMIN MOHAMED (OWNER)
(651) 324-3748
Entity
Organization
Contact information
Practice address
2104 PARK AVE, MINNEAPOLIS, MN 55404-6607
(651) 324-3748
Mailing address
545 38TH AVE NE, COLUMBIA HEIGHTS, MN 55421-3802
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2022
Last updated
05/25/2022
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