Organization · Type 2 NPI
Nasra S Gonjobe
Adult Care Home Facility · Maplewood, MN
NPI number
1972936714
Active
Practice location
1312 Burke Cir E
Maplewood, MN 55109-3450
Fax (651) 756-1696
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 1056572-2-AFC (MN) |
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.
Another provider at this address
Other adult care home facility providers in Maplewood
About NPI 1972936714
Nasra S Gonjobe's National Provider Identifier is 1972936714, issued on Aug 15, 2013. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Maplewood, MN. The record was last updated on Aug 15, 2013.