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NPI Code Detail

MEDICARE: RIYO INTERNATIONAL CORPORATION

MEDICARE: RIYO INTERNATIONAL CORPORATION
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
1251E00000XHome Health Agency
2251S00000XCommunity/Behavioral Health Agency
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
4261QM0855XAdolescent and Children Mental Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831656529
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIYO INTERNATIONAL CORPORATION
Provider Business Mailing Address
First Line : 2060 CENTRE POINTE BLVD STE 3
Second Line :
City : SAINT PAUL
State : MN
Zip : 55120-1271
Country : US
Telephone Number : 612-447-2689
Fax Number :
Provider Business Practice Location Address
First Line : 2060 CENTRE POINTE BLVD STE 3
Second Line :
City : MENDOTA HEIGHTS
State : MN
Zip : 55120-1271
Country : US
Telephone Number : 866-822-7464
Fax Number :
Authorized Official
Title or Position : CEO
Name : MOHAMED AL RIYO
Credential :
Telephone Number : 866-822-7464
Provider Enumeration Date : 02/28/2019
Last Update Date : 12/19/2024

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Directions to “RIYO INTERNATIONAL CORPORATION ” Practice Location

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