Organization
NORDMETRO ADULT REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYI TIKU NGWI (ONWER)
(507) 291-4198
Entity
Organization
Contact information
Practice address
10189 SHADYVIEW LN N, MAPLE GROVE, MN 55311-5713
(507) 291-4198
Mailing address
10189 SHADYVIEW LN N, MAPLE GROVE, MN 55311-5713
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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