Individual provider · Type 1 NPI
Mergitu Amde Tibesso
Adult Care Home Facility · Farmington, MN
NPI number
1336055136
Active
Practice location
18562 Egret Way
Farmington, MN 55024-8627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: 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.
Other adult care home facility providers in Farmington
About NPI 1336055136
Mergitu Amde Tibesso's National Provider Identifier is 1336055136, issued on Aug 21, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Farmington, MN. The record was last updated on Aug 21, 2026.