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Organization
MHM PROVIDERS LLC
Active
Organization
MHM PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUN MOALIN (DIRECTOR)
(612) 888-2447
Entity
Organization
Contact information
Practice address
2900 PLEASANT AVE UNIT 601, MINNEAPOLIS, MN 55408-5514
(612) 888-2447
Mailing address
2900 PLEASANT AVE UNIT 601, MINNEAPOLIS, MN 55408-5514
(612) 888-2447
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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