Wabe Home Residential Services LLC

NPI #1932975778 in Saint Paul, Minnesota

Provider Information

NPI Number
1932975778
Entity Type
Organization
Organization Name
Wabe Home Residential Services LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Dec 4, 2023
Last Updated
Dec 4, 2023

Practice Location

Address
5177 RED OAK DR
ZIP Code
55112-4871
Phone
(612) 483-5750

Authorized Official

Name
MOHAMED IBRAHIM
Title
MANAGER /CO-OWNER
Phone
(612) 483-5750

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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