| Eagan Hope Wellness Services Llc | |
|
4651 Nicols Rd Ste 206 Eagan MN 55122-3424 | |
| (514) 522-2876 | |
| (651) 454-8328 |
| Full Name | Eagan Hope Wellness Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4651 Nicols Rd Ste 206, Eagan, Minnesota |
| Authorized Official Name and Position | Aeysha Nmi Nur (DIRECTOR) |
| Authorized Official Contact | 6512398745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagan Hope Wellness Services Llc 4706 Bristol Blvd Eagan MN 55123-3989 Ph: (651) 239-8745 | Eagan Hope Wellness Services Llc 4651 Nicols Rd Ste 206 Eagan MN 55122-3424 Ph: (514) 522-2876 |
| NPI Number | 1982190773 |
|---|---|
| Provider Enumeration Date | 07/05/2018 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982190773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Minnesota) | Primary |
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