NPI 1649164963

Fashingoma Mugisha

Practitioner Intellectual and/or Developmental Disabilities Residential Treatment Facility Fargo, ND

Practice location

Address: 905 27th St N, Fargo, ND 58102-3134
Phone: (602) 751-1571
Mailing address: 22453 N Vanderveen Way, Maricopa, AZ 85138-5570

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in North Dakota →

Registry record

NPI: 1649164963
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jun 2025
Record last updated: 3 Jun 2025

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.