Midwest Group Home
NPI #1871193417 in Columbia Heights, Minnesota
Provider Information
- NPI Number
- 1871193417
- Entity Type
- Organization
- Organization Name
- Midwest Group Home
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Oct 30, 2020
- Last Updated
- Nov 1, 2020
Practice Location
- Address
- 4232 5TH ST NE
- City
- Columbia Heights
- State
- Minnesota
- ZIP Code
- 55421-2860
- Phone
- (612) 205-4918
Authorized Official
- Name
- ABDIKADIR M HASSAN
- Title
- OWNER
- Phone
- (612) 205-4918
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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