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Organization

MAK INITIATIVE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHUAIB IBRAHIM (MANAGER)
(952) 405-0998
Entity
Organization

Contact information

Practice address
2736 LYNDALE AVE S STE 205, MINNEAPOLIS, MN 55408-1309
(952) 405-0998
(952) 426-3999
Mailing address
2736 LYNDALE AVE S STE 205, MINNEAPOLIS, MN 55408-1309
(952) 405-0998
(952) 426-3999

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
251S00000X
Community/Behavioral Health Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
07/03/2023
Last updated
05/28/2025
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