NPI 1871367714
12th House Healing Services
Practice location
- Address
- 650 Aguirre St APT 232, Saint Paul, MN 55130-4430
- Phone
- (612) 584-0902
Authorised official
- Name
- Tayonna Martia Mays
- Title
- Ceo
- Phone
- (612) 584-0902
Registered specialties (6)
Nursing Care Agency
Primary
Lodging Provider
In Home Supportive Care Agency
Assisted Living Facility (Mental Illness)
Assisted Living Facility (Behavioral Disturbances)
Mental Illness Community Based Residential Treatment Facility
Registry record
- NPI
- 1871367714
- Entity type
- Organization
- NPI issued
- 10 Nov 2023
- Record last updated
- 10 Nov 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.