Fashingoma Mugisha
Fashingoma Mugisha is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fargo, North Dakota. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
905 27th St NFargo, ND 58102-3134
Phone: (602) 751-1571
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|
Record details
| NPI number | 1649164963 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 3, 2025 |
| Last updated in NPPES | June 3, 2025 |
| Certification date | June 3, 2025 |
| Mailing address | 22453 N Vanderveen Way, Maricopa, AZ 85138-5570 |