person
Mohammed Mustapha
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Rochester, Minnesota
NPI 1306216056

Mohammed Mustapha is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Rochester, MN. Mohammed Mustapha practices in Rochester, MN. The NPI Number for Mohammed Mustapha is 1306216056 and holds a License No. (Minnesota).

The current practice location address for Mohammed Mustapha is 2438 19Th Ave Nw, Rochester, MN and can be reached out via phone at 507-244-1724.

Location: 2438 19Th Ave Nw, Rochester, MN, 55901-7616
person
Provider Profile Details
NPI Number
1306216056
Provider Name
Mohammed Mustapha
Credential
Provider Entity Type
Individual
Gender
Male
Address
2438 19Th Ave Nw, Rochester, MN, 55901-7616
Phone Number
507-244-1724
Fax Number
Provider Enumeration Date
10/06/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2438 19Th Ave Nw
City
State
Zip
55901-7616
Phone Number
507-244-1724
Fax Number
person
Provider Business Mailing Address Details
Address
2438 19Th Ave Nw
City
State
Zip
55901-7616
Phone Number
507-244-1724
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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