NPI 1013795574

Maxton Agency LLC

Organisation Early Intervention Provider Agency Blaine, MN

Practice location

Address: 1120 112th Ln NE, Blaine, MN 55434-4547
Phone: (612) 735-1096

Authorised official

Name: Esther O Idowu
Title: President
Phone: (612) 735-1096

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Minnesota →

Registry record

NPI: 1013795574
Entity type: Organization
NPI issued: 18 Sep 2023
Record last updated: 18 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.