| Nordmetro Adult Rehabilitation Llc | |
|
10189 Shadyview Ln N Maple Grove MN 55311-5713 | |
| (507) 291-4198 | |
| Not Available |
| Full Name | Nordmetro Adult Rehabilitation Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 10189 Shadyview Ln N, Maple Grove, Minnesota |
| Authorized Official Name and Position | Tanyi Tiku Ngwi (ONWER) |
| Authorized Official Contact | 5072914198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nordmetro Adult Rehabilitation Llc 10189 Shadyview Ln N Maple Grove MN 55311-5713 Ph: () - | Nordmetro Adult Rehabilitation Llc 10189 Shadyview Ln N Maple Grove MN 55311-5713 Ph: (507) 291-4198 |
| NPI Number | 1871479857 |
|---|---|
| Provider Enumeration Date | 08/14/2025 |
| Last Update Date | 08/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871479857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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