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ABDI GALGALO GONJOBE NPI 1982935854


NPI Information

NPI: 1982935854
Provider Name: ABDI GALGALO GONJOBE

Doing Business As: METRO NURSING SERVICES

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

Specialization: Adult Care Home

CLIA Number: 24D2039752

Address:
1312 BURKE CIR E
MAPLEWOOD, MN
ZIP 55109
Phone: (651) 230-9300
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ABDI GALGALO 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. ABDI GALGALO GONJOBE NPI is 1982935854. The provider is registered as an organization entity type.
The provider Is Doing Business As Metro Nursing Services.

The provider's business location address is:

1312 BURKE CIR E
MAPLEWOOD, MN
ZIP 55109-450
Phone: (651) 230-9300
Fax: (651) 739-1269

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

The CLIA number assigned to this NPI record is 24D2039752 - other - class f home care/hws with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/15/2010 and was last updated on 11/4/2010.


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 Home347084MINNESOTAYes

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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