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Organization

CHRIS NDEDE KOJO BAIDOE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRIS NDEDE KOJO BAIDOE (SOLE OWNER)
(218) 329-5265
Entity
Organization

Contact information

Practice address
1114 27TH AVE S APT 25, MOORHEAD, MN 56560-4656
(218) 329-5256
Mailing address
1114 27TH AVE S APT 25, MOORHEAD, MN 56560
(218) 329-5265

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1078559-2-HCBS
MN

Other

Enumeration date
10/08/2015
Last updated
10/08/2015
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