Provider Demographics
NPI:1316830631
Name:AFYA WELLNESS CENTER INC
Entity type:Organization
Organization Name:AFYA WELLNESS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:MUMIN
Authorized Official - Last Name:OMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-621-1908
Mailing Address - Street 1:924 48TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-6538
Mailing Address - Country:US
Mailing Address - Phone:619-621-1908
Mailing Address - Fax:507-431-1095
Practice Address - Street 1:924 48TH AVE NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-6538
Practice Address - Country:US
Practice Address - Phone:619-621-1908
Practice Address - Fax:507-431-1095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No251E00000XAgenciesHome Health