Organization
MAA ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX TAI NYANGAU RN (OWNER)
(206) 396-0842
Entity
Organization
Contact information
Practice address
5050 AMBER VALLEY PKWY S APT 1095050, FARGO, ND 58104-8705
(206) 396-0842
Mailing address
5050 AMBER VALLEY PKWY S APT 1095050, FARGO, ND 58104-8705
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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