MEDICARE: PEOPLE WELLNESS CENTER L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1235994724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEOPLE WELLNESS CENTER L.L.C.

Provider Business Mailing Address
First Line	:	1821 UNIVERSITY AVE W STE 395
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55104-2801
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1821 UNIVERSITY AVE W STE 395
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55104-2801
Country	:	US
Telephone Number	:	612-408-1555
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SAM NOOR
Credential	:
Telephone Number	:	612-408-1555

Provider Enumeration Date	:	02/14/2024
Last Update Date	:	03/25/2026

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Directions to “PEOPLE WELLNESS CENTER L.L.C. ” Practice Location

Language	Start Address	Practice Location

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