Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FEYISSA JAFAR WAGESSO
Active Sole ProprietorFEYISSA JAFAR WAGESSO is a Assisted Living Facility healthcare provider located in MAPLEWOOD, Minnesota. NPI 1699511253 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · MAPLEWOOD, MN
Registration Details
- NPI Number
- 1699511253
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2024 (2.1091500896544 yrs)
- Last Updated
- Aug 8, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
2468 BRENNER AVE EMAPLEWOOD, MN, 551091573Browse MN providers · Browse ZIP 55109
- Phone
- 7639107300
- Fax
- 2189797692
- Primary Specialty
-
Assisted Living Facility
310400000X
- Additional Specialty
- Assisted Living Facility
Other Assisted Living Facility Providers in MAPLEWOOD, MN
| Name | Credential | NPI |
|---|---|---|
| MAY LEE | — | 1063201952 |
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.