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Nasra S Gonjobe
Adult Care Home Facility in Maplewood, Minnesota
NPI 1972936714

Nasra S Gonjobe is an Adult Care Home Facility based in Maplewood, MN and is specialized in Adult Care Home. Nasra S Gonjobe practices in Maplewood, MN. The NPI Number for Nasra S Gonjobe is 1972936714 and holds a License No. 1056572-2-AFC (Minnesota).

The current practice location address for Nasra S Gonjobe is 1312 Burke Cir E, Maplewood, MN and can be reached out via phone at 651-230-9300 and via fax at 651-756-1696.

Location: 1312 Burke Cir E, Maplewood, MN, 55109-3450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972936714
Provider Name
Nasra S Gonjobe
Credential
Provider Entity Type
Organization
Address
1312 Burke Cir E, Maplewood, MN, 55109-3450
Phone Number
651-230-9300
Fax Number
651-756-1696
Provider Enumeration Date
08/15/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1312 Burke Cir E
City
Maplewood
State
Minnesota
Zip
55109-3450
Phone Number
651-230-9300
Fax Number
651-756-1696
person
Provider Business Mailing Address Details
Address
1312 Burke Cir E
City
Maplewood
State
Minnesota
Zip
55109-3450
Phone Number
651-230-9300
Fax Number
651-756-1696
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
1056572-2-AFC (Minnesota)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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