Organization
WELLNESS DIABETES CARE LLC
Active
Parent organization
WELLNESS RX HOMECARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLNESS RX HOMECARE
Authorized official
LIBAN MUSE (OWNER)
(612) 242-4521
Entity
Organization
Contact information
Practice address
11005 TYLER ST NE, BLAINE, MN 55434-4535
(612) 242-4521
Mailing address
11005 TYLER ST NE, BLAINE, MN 55434-4535
(612) 242-4521
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
348301
MN
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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