Organization
HOPE WELLNESS CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED A MOHAMED (CEO)
(507) 319-4759
Entity
Organization
Contact information
Practice address
1500 1ST AVE NE STE 111F, ROCHESTER, MN 55906
(320) 455-3566
(866) 597-0950
Mailing address
1821 UNIVERSITY AVE W STE S106, SAINT PAUL, MN 55104-2810
(507) 319-4759
(186) 659-7095
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568815603
—
MN
Enumeration date
07/13/2016
Last updated
07/20/2018
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