# WHITEMOUNTAIN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WhiteMountain llc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649963109
- **Authorized official:** TITILOPE AKANO (PRESIDENT)
- **Authorized official phone:** (612) 251-2366

## Contact information

- **Practice address:** 7133 116TH PL N, CHAMPLIN, MN 55316-2879
- **Practice address phone:** (612) 483-3771
- **Mailing address:** 7133 116TH PL N, CHAMPLIN, MN 55316-2879
- **Mailing address phone:** (612) 483-3771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 05/31/2023
- **Last updated:** 12/05/2024