| 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 |
|---|---|
| Hope Light LLC 11835 Avocet Cir Nw Coon Rapids MN 55448-2007 | Hope Light LLC 11835 Avocet Cir Nw Coon Rapids MN 55448-2007 Ph: (612) 223-3779 |
| NPI Number | 1598452625 |
|---|---|
| Provider Enumeration Date | 04/19/2023 |
| Last Update Date | 04/19/2023 |
| Certification Date | 04/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598452625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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