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Mr. Olugbenga Olalekan Banjo
Assisted Living Facility in St Paul Park, Minnesota
NPI 1558143065

Olugbenga Olalekan Banjo is an Assisted Living Facility based in St Paul Park, MN. Olugbenga Olalekan Banjo practices in St Paul Park, MN. The NPI Number for Olugbenga Olalekan Banjo is 1558143065 and holds a License No. 413980 (Minnesota).

The current practice location address for Olugbenga Olalekan Banjo is 1160 Chicago Ave, St Paul Park, MN and can be reached out via phone at 651-210-9638.

Location: 1160 Chicago Ave, St Paul Park, MN, 55071-1344
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558143065
Provider Name
Olugbenga Olalekan Banjo
Credential
Provider Entity Type
Individual
Gender
Male
Address
1160 Chicago Ave, St Paul Park, MN, 55071-1344
Phone Number
651-210-9638
Fax Number
Provider Enumeration Date
10/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1160 Chicago Ave
City
St Paul Park
State
Minnesota
Zip
55071-1344
Phone Number
651-210-9638
Fax Number
person
Provider Business Mailing Address Details
Address
1160 Chicago Ave
City
St Paul Park
State
Minnesota
Zip
55071-1344
Phone Number
651-210-9638
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
413980 (Minnesota)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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