Organization
BENEVOLENT RECUPERATIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NABILA MOHAMED (OWNER)
(612) 209-3149
Entity
Organization
Contact information
Practice address
7825 IRISH AVE S, COTTAGE GROVE, MN 55016-2073
(612) 209-3149
Mailing address
7825 IRISH AVE S, COTTAGE GROVE, MN 55016-2073
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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