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NASRA S GONJOBE NPI 1972936714


NPI Information

NPI: 1972936714
Provider Name: NASRA S GONJOBE

Doing Business As: NASRA S GONJOBE AND ABDI G GONJOBE

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
1312 BURKE CIR E
MAPLEWOOD, MN
ZIP 55109
Phone: (651) 230-9300
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NASRA S GONJOBE is an adult care home custodial care facility in Maplewood, MN. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. NASRA S GONJOBE NPI is 1972936714. The provider is registered as an organization entity type.
The provider Is Doing Business As Nasra S Gonjobe And Abdi G Gonjobe.

The provider's business location address is:

1312 BURKE CIR E
MAPLEWOOD, MN
ZIP 55109-450
Phone: (651) 230-9300
Fax: (651) 756-1696

The provider's authorized official is Abdi G Gonjobe .
The authorized official title is Administrator and has the following contact phone number (651) 230-9300.

The enumeration date for this NPI number is 8/15/2013 and was last updated on 8/15/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care Home1056572-2-AFCMINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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