Individual provider · Type 1 NPI
Fashingoma Mugisha
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Fargo, ND
Practice location
905 27th St N
Fargo, ND 58102-3134
Mailing address
22453 N Vanderveen Way
Maricopa, AZ 85138-5570
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1649164963
Fashingoma Mugisha's National Provider Identifier is 1649164963, issued on Jun 3, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Fargo, ND. The record was last updated on Jun 3, 2025.