NPI 1578075750
Midwest Residential INC
Practice location
- Address
- 10917 Humboldt Ave S, Bloomington, MN 55431-4221
- Phone
- (651) 315-2649
- Mailing address
- 7400 Cedar Ave S, Minneapolis, MN 55423-4647
Authorised official
- Name
- Faiza Hassan
- Title
- Ceo
- Phone
- (651) 315-2649
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1578075750
- Entity type
- Organization
- NPI issued
- 28 Oct 2017
- Record last updated
- 18 Mar 2024
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.