Girma Dufera

Individual provider Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1740993856

Girma Dufera is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Savage, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in: MN
In the registry since: 2023

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Practice location Address checks out

14511 Lockslie Trl
Savage, MN 55378-2257
Phone: (612) 517-8429

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Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary)	Taxonomy 320600000X · Licence 1110719 (MN)

Record details

NPI number	1740993856
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	January 4, 2023
Last updated in NPPES	January 4, 2023
Certification date	January 3, 2023
Mailing address	14511 Lockslie Trl, Savage, MN 55378-2257