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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TEDLA A BELAYNEH

Active Sole Proprietor

TEDLA A BELAYNEH is a Foster Care Agency healthcare provider located in APPLE VALLEY, Minnesota. NPI 1386301612 is currently active in the NPPES registry. Verify at CMS.

Foster Care Agency · APPLE VALLEY, MN

Registration Details

NPI Number
1386301612
Provider Type
Individual
Gender
Male
NPI Issued
Nov 22, 2021 (4.7516706061456 yrs)
Last Updated
Nov 22, 2021
License
1099208 (MN)
Sole Proprietor
Yes

Practice Information

Address
13626 GOSSAMER WAY
APPLE VALLEY, MN, 551247875
Browse MN providers · Browse ZIP 55124
Phone
6129990660
Primary Specialty
Foster Care Agency
253J00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.