Provider Demographics
NPI:1437924818
Name:MOYO HEALTH INC
Entity Type:Organization
Organization Name:MOYO HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:NYAKUNDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-200-2594
Mailing Address - Street 1:1250 WAYZATA BLVD E UNIT 1084
Mailing Address - Street 2:
Mailing Address - City:WAYZATA
Mailing Address - State:MN
Mailing Address - Zip Code:55391-1951
Mailing Address - Country:US
Mailing Address - Phone:612-200-2594
Mailing Address - Fax:
Practice Address - Street 1:1250 WAYZATA BLVD E UNIT 1084
Practice Address - Street 2:
Practice Address - City:WAYZATA
Practice Address - State:MN
Practice Address - Zip Code:55391-1951
Practice Address - Country:US
Practice Address - Phone:612-200-2594
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty