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Organization
MOMENT OF IMPACT, INC
Active
Organization
MOMENT OF IMPACT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK IMHANYIANBHO UGIAGBE (ADMINISTRATOR)
(763) 227-4131
Entity
Organization
Contact information
Practice address
8456-BRUNSWICK CT N, MINNEAPOLIS, MN 55443
(763) 416-0095
(763) 515-7889
Mailing address
8456-BRUNSWICK CT N, MINNEAPOLIS, MN 55443
(763) 416-0095
(763) 515-7889
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
MN
310400000X
Assisted Living Facility
—
MN
385H00000X
Respite Care
Primary
1040454-1-CFC
MN
Other
Enumeration date
10/31/2006
Last updated
09/11/2025
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