Organization
AWAKEN RECUPERATIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIMO SADE AFYARE (OWNER)
(612) 876-5236
Entity
Organization
Contact information
Practice address
847 GRIGGS ST N, SAINT PAUL, MN 55104-1462
(612) 876-5236
Mailing address
847 GRIGGS ST N, SAINT PAUL, MN 55104-1462
(612) 876-5236
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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