Organization
MAISA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIRA NUR (PRESIDENT)
(602) 903-8781
Entity
Organization
Contact information
Practice address
1113 E FRANKLIN AVE STE 208C, MINNEAPOLIS, MN 55404-2977
(602) 903-8781
Mailing address
1113 E FRANKLIN AVE STE 208C, MINNEAPOLIS, MN 55404-2977
(602) 903-8781
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
MN
Enumeration date
09/28/2020
Last updated
09/28/2020
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