IndividualActive
Melony Micheals
NPI 1164224788 · Foster Care Agency · Plymouth, MN
Provider details
- NPI number
- 1164224788
- Entity type
- Individual
- Primary specialty
- Foster Care AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1123115 (MN)
Specialties & taxonomies
Agencies
Practice location
4200 Wedgewood Ln N
Plymouth, MN 55442-2645
Phone: (612) 385-1914
Approximate (ZIP-level) locationGet directions
Mailing address
4200 Wedgewood Ln N
Plymouth, MN 55442-2645
Registry dates
- Enumerated
- 2025-03-25
- Last updated
- 2025-03-25
- Certified
- 2025-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.