Organization
MINDFUL SUPPORT NETWORK LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS A NDEGE NP (OWNER/NP)
(763) 464-6462
Entity
Organization
Contact information
Practice address
4112 105TH TRL N, BROOKLYN PARK, MN 55443-1335
(763) 464-6462
Mailing address
4112 105TH TRL N, BROOKLYN PARK, MN 55443-1335
(763) 464-6462
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
310400000X
Assisted Living Facility
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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