Provider Demographics
NPI:1790501617
Name:PEACE OF MIND CARE CENTER
Entity type:Organization
Organization Name:PEACE OF MIND CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FARTUN
Authorized Official - Middle Name:ELMI
Authorized Official - Last Name:WELI
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:952-564-1131
Mailing Address - Street 1:2518 N 2ND ST STE 116
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-2259
Mailing Address - Country:US
Mailing Address - Phone:952-564-1131
Mailing Address - Fax:
Practice Address - Street 1:2518 N 2ND ST STE 116
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-2259
Practice Address - Country:US
Practice Address - Phone:952-564-1131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)