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Organization
FINISH THE RACE
Active
Organization
FINISH THE RACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAQIUITH NICHOLSON (OWNER)
(612) 389-0555
Entity
Organization
Contact information
Practice address
4847 ALDRICH AVE N, MINNEAPOLIS, MN 55430-3530
(612) 389-0555
(612) 294-6553
Mailing address
4847 ALDRICH AVE N, MINNEAPOLIS, MN 55430-3530
(612) 355-6278
(612) 294-6553
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
310400000X
Assisted Living Facility
—
NULL
3104A0625X
Assisted Living Facility (Mental Illness)
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
10/03/2025
Last updated
11/24/2025
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