Provider Demographics
NPI:1598648263
Name:MNNN HOLDINGS LLC
Entity type:Organization
Organization Name:MNNN HOLDINGS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GAMUCHIRAI
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-422-0329
Mailing Address - Street 1:800 CORPORATE DR STE 301
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-4889
Mailing Address - Country:US
Mailing Address - Phone:571-422-0329
Mailing Address - Fax:
Practice Address - Street 1:800 CORPORATE DR STE 301
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-4889
Practice Address - Country:US
Practice Address - Phone:571-422-0329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services