Midway Family Support
NPI #1578381570 in Circle Pines, Minnesota
Provider Information
- NPI Number
- 1578381570
- Entity Type
- Organization
- Organization Name
- Midway Family Support
- Primary Specialty
- Clinic/Center - Rehabilitation
- Enumeration Date
- Sep 30, 2024
- Last Updated
- Sep 30, 2024
Practice Location
- Address
- 3629 95TH AVE NE
- City
- Circle Pines
- State
- Minnesota
- ZIP Code
- 55014-3843
- Phone
- (612) 707-4705
Authorized Official
- Name
- SAMIRA MOHAMUD
- Title
- CLINICAL TRAINEE
- Phone
- (612) 707-4705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
| Clinic/Center - Rehabilitation — Rehabilitation |
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