Organization · NPI-2

Mash Care

In Home Supportive Care · Woodbury, MN

NPI number1801489976
StatusActive
Last updated in NPPESFeb 18, 2021

Details

NPI
1801489976
Entity type
Organization (NPI-2)
Legal business name
Mash Care
Organization subpart
No
Enumeration date
Feb 18, 2021
Certification date
Feb 15, 2021
Last updated
Feb 18, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

597 Woodduck Dr Unit C
Woodbury, MN 55125-1833

Phone 651-338-2735

Mailing address

597 Woodduck Dr Unit C
Woodbury, MN 55125-1833

Phone 651-338-2735

Authorized official

Moses Oye Fasanya
Chief Executive Officer
6513382735

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