Organization
MUPEF SERVICES L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLADSTON MULUH NKWAINGUH (DESIGNATED COORDINATOR)
(612) 308-8775
Entity
Organization
Contact information
Practice address
6611 91ST ALCOVE S, COTTAGE GROVE, MN 55016-5307
(612) 308-8775
Mailing address
6611 91ST ALCOVE S, COTTAGE GROVE, MN 55016-5307
(612) 308-8775
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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