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Contact Information

MUSTAFA FARAH, (LALD)
3234 DUPONT AVE N
MINNEAPOLIS, MN55412-2510
 Phone: 612-836-9799
 Fax: 612-448-0097
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Home Administrator

376G00000X
 

Home Health Aide

374U00000X
 

Homemaker

376J00000X
 

Long-Term Care

364SL0600X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for MUSTAFA FARAH · (Male)

NPI # 1659254274
Status Active
Credentials (LALD)
Entity Individual
Enumeration date 07/30/2025
Last updated 09/24/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • MN License # 1737
  • MN Other 1737 MN BOARD OF EXECUTIVES FOR LONG-TERM SERVICES AND SUPPORTS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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