Organization
WELLNESS HOME INC
Active
Other names
Wellness Home Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAPHAEL OMOTO CNP (DIRECTOR)
(240) 479-9301
Entity
Organization
Contact information
Practice address
7832 SUGARLOAF TRL, BROOKLYN PARK, MN 55444-1935
(240) 479-9301
Mailing address
7832 SUGARLOAF TRL, BROOKLYN PARK, MN 55444-1935
(240) 479-9301
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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