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MADINA WELLNESS CENTER INC. NPI 1083105209


NPI Information

NPI: 1083105209
Provider Name: MADINA WELLNESS CENTER, INC.
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
1230 EAGAN INDUSTRIAL RD STE 103
EAGAN, MN
ZIP 55121
Phone: (612) 770-3502
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MADINA WELLNESS CENTER, INC. is a developmental disabilities clinic center in Eagan, MN. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). MADINA WELLNESS CENTER, INC. NPI is 1083105209. The provider is registered as an organization entity type.

The provider's business location address is:

1230 EAGAN INDUSTRIAL RD STE 103
EAGAN, MN
ZIP 55121-243
Phone: (612) 770-3502

The provider's authorized official is Hawo Odawaay .
The authorized official title is Owner and has the following contact phone number (612) 770-3502.

The enumeration date for this NPI number is 5/23/2018 and was last updated on 5/23/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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