OrganizationActive
Nasra S Gonjobe
NPI 1972936714 · Adult Care Home Facility · Maplewood, MN
Provider details
- NPI number
- 1972936714
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Authorized official
- Abdi Gonjobe, Administrator
- License
- 1056572-2-AFC (MN)
Practice location
1312 Burke Cir E
Maplewood, MN 55109-3450
Phone: (651) 230-9300
Fax: (651) 756-1696
Mailing address
1312 Burke Cir E
Maplewood, MN 55109-3450
Registry dates
- Enumerated
- 2013-08-15
- Last updated
- 2013-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.