location
search-icon
person
Ebise Bayisa
Child Physical Disabilities Respite Care in Blaine, Minnesota
NPI 1538745047

Ebise Bayisa is a Child Physical Disabilities Respite Care based in Blaine, MN and is specialized in Respite Care, Physical Disabilities, Child. Ebise Bayisa practices in Blaine, MN. The NPI Number for Ebise Bayisa is 1538745047 and holds a License No. (Minnesota).

The current practice location address for Ebise Bayisa is 12457 Midway Cir Ne, Blaine, MN and can be reached out via phone at 612-423-5057.

Location: 12457 Midway Cir Ne, Blaine, MN, 55449-6228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538745047
Provider Name
Ebise Bayisa
Credential
Provider Entity Type
Individual
Gender
Female
Address
12457 Midway Cir Ne, Blaine, MN, 55449-6228
Phone Number
612-423-5057
Fax Number
Provider Enumeration Date
03/23/2021
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
612653119 05 MN
institution
Provider Business Practice Location Address Details
Address
12457 Midway Cir Ne
City
Blaine
State
Minnesota
Zip
55449-6228
Phone Number
612-423-5057
Fax Number
person
Provider Business Mailing Address Details
Address
12457 Midway Cir Ne
City
Blaine
State
Minnesota
Zip
55449-6228
Phone Number
612-423-5057
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Physical Disabilities, Child
Taxonomy
385HR2065X
License No.
(Minnesota)
Definition
A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.