IndividualActive
Girma Dufera
NPI 1740993856 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Savage, MN
Provider details
- NPI number
- 1740993856
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1110719 (MN)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 1110719 (MN)
Residential Treatment Facilities
Practice location
14511 Lockslie Trl
Savage, MN 55378-2257
Phone: (612) 517-8429
Approximate (ZIP-level) locationGet directions
Mailing address
14511 Lockslie Trl
Savage, MN 55378-2257
Registry dates
- Enumerated
- 2023-01-04
- Last updated
- 2023-01-04
- Certified
- 2023-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.