Provider Demographics
NPI:1083439954
Name:MIRGA HOUSING STABILIZATION SERVICES LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:MIRGA HOUSING STABILIZATION SERVICES LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAMAL
Authorized Official - Middle Name:B
Authorized Official - Last Name:GALATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-242-6392
Mailing Address - Street 1:575 CENTRAL AVE W
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55103-2263
Mailing Address - Country:US
Mailing Address - Phone:651-242-6392
Mailing Address - Fax:
Practice Address - Street 1:575 CENTRAL AVE W
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55103-2263
Practice Address - Country:US
Practice Address - Phone:651-242-6392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management