Organization
EAGAN HOPE WELLNESS SERVICES LLC
Active
Other names
Eagan Hope Wellness Services LLC
Organization subpart
Yes
Provider details
NPI number
Authorized official
MS. AEYSHA NMI NUR PROVIDER (DIRECTOR)
(651) 239-8745
Entity
Organization
Contact information
Practice address
4651 NICOLS RD STE 206, EAGAN, MN 55122-3424
(514) 522-2876
(651) 454-8328
Mailing address
4706 BRISTOL BLVD, EAGAN, MN 55123-3989
(651) 239-8745
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MN
Other
Enumeration date
07/05/2018
Last updated
10/09/2024
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