Hope Light Llc | |
11835 Avocet Cir Nw Coon Rapids MN 55448-2007 | |
(612) 223-3779 | |
Not Available |
Full Name | Hope Light Llc |
---|---|
Speciality | Clinic/center |
Location | 11835 Avocet Cir Nw, Coon Rapids, Minnesota |
Authorized Official Name and Position | Yemane Mebrahtu (OWNER) |
Authorized Official Contact | 6122233779 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hope Light Llc 11835 Avocet Cir Nw Coon Rapids MN 55448-2007 Ph: () - | Hope Light Llc 11835 Avocet Cir Nw Coon Rapids MN 55448-2007 Ph: (612) 223-3779 |
NPI Number | 1598452625 |
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Provider Enumeration Date | 04/19/2023 |
Last Update Date | 04/19/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598452625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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