Organization
MAI'S ADULT FOSTER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAI CHA MOUA (OWNER)
(651) 235-5287
Entity
Organization
Contact information
Practice address
1657 DULUTH ST, SAINT PAUL, MN 55106-1117
(651) 235-5287
(651) 771-7974
Mailing address
1657 DULUTH ST, SAINT PAUL, MN 55106-1117
(651) 235-5287
(651) 771-7974
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1042011-2-AFC
MN
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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