| Hope Wellness Center Corp | |
|
1500 1st Ave Ne Ste 111f Rochester MN 55906 | |
| (320) 455-3566 | |
| (866) 597-0950 |
| Full Name | Hope Wellness Center Corp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1500 1st Ave Ne Ste 111f, Rochester, Minnesota |
| Authorized Official Name and Position | Mohamed A Mohamed (CEO) |
| Authorized Official Contact | 5073194759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Wellness Center Corp 1821 University Ave W Ste S106 Saint Paul MN 55104-2810 Ph: (507) 319-4759 | Hope Wellness Center Corp 1500 1st Ave Ne Ste 111f Rochester MN 55906 Ph: (320) 455-3566 |
| NPI Number | 1568815603 |
|---|---|
| Provider Enumeration Date | 07/13/2016 |
| Last Update Date | 07/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568815603 | NPI | - | NPPES |
| 1568815603 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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