Organization
NATHANIEL LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATIENCE W MBAYO (HOUSING STABILIZATION CONSULTANT)
(612) 532-1876
Entity
Organization
Contact information
Practice address
7035 BERKSHIRE LN, SHAKOPEE, MN 55379-8052
(612) 532-1876
Mailing address
7035 BERKSHIRE LN, SHAKOPEE, MN 55379-8052
(612) 532-1876
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
About Stedi
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