Organization
WABE HOME RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED IBRAHIM (MANAGER /CO-OWNER)
(612) 483-5750
Entity
Organization
Contact information
Practice address
5177 RED OAK DR, SAINT PAUL, MN 55112-4871
(612) 483-5750
Mailing address
5177 RED OAK DR, SAINT PAUL, MN 55112-4871
(612) 483-5750
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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