SearchMinnesota253J00000X

Tedla Belayneh

NPI 1386301612 · on the registry since 2021 · sole proprietor

Practice

Address
13626 Gossamer Way
Apple Valley, MN 55124
Phone
(612) 999-0660
Organisation at this address
Elleny Family Adult Care Corporation
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
253J00000X
253J00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-11-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota