Provider Demographics
NPI:1770304461
Name:EMPOWERU ADULT WELLNESS CENTER LLC
Entity type:Organization
Organization Name:EMPOWERU ADULT WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SAFA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEIKHIBRAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:507-271-8710
Mailing Address - Street 1:3245 19TH ST NW STE 1
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-6792
Mailing Address - Country:US
Mailing Address - Phone:507-271-8710
Mailing Address - Fax:
Practice Address - Street 1:3245 19TH ST NW STE 1
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-6792
Practice Address - Country:US
Practice Address - Phone:507-271-8710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health