Organization
MULAK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUKAILA OLADEMIJI SHODIYA (CEO)
(413) 561-6045
Entity
Organization
Contact information
Practice address
7990 HALIFAX AVE N, MINNEAPOLIS, MN 55443-2644
(763) 227-6030
Mailing address
7990 HALIFAX AVE N, MINNEAPOLIS, MN 55443-2644
(763) 227-6030
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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