| NPI | 1982190773 |
|---|---|
| Doing Business As | EAGAN HOPE WELLNESS SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | AEYSHA NMI NUR Director 651-239-8745 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-05 |