Organization
LOOM WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HODAN IBRAHIM YUSUF (DIRECTOR/OWNER)
(612) 407-1769
Entity
Organization
Contact information
Practice address
1000 E 146TH ST STE 105, BURNSVILLE, MN 55337-4655
(612) 407-1769
Mailing address
1000 E 146TH ST STE 105, BURNSVILLE, MN 55337-4655
(612) 407-1769
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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