| Regions Waiver Services L.L.C. | |
|
2104 Park Ave Minneapolis MN 55404-6607 | |
| (651) 324-3748 | |
| Not Available |
| Full Name | Regions Waiver Services L.L.C. |
|---|---|
| Speciality | Clinic/center |
| Location | 2104 Park Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Yasmin Mohamed (OWNER) |
| Authorized Official Contact | 6513243748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regions Waiver Services L.L.C. 545 38th Ave Ne Columbia Heights MN 55421-3802 | Regions Waiver Services L.L.C. 2104 Park Ave Minneapolis MN 55404-6607 Ph: (651) 324-3748 |
| NPI Number | 1326783762 |
|---|---|
| Provider Enumeration Date | 04/30/2022 |
| Last Update Date | 05/25/2022 |
| Certification Date | 05/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326783762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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