Kimberly Homes LLC
Custodial Care Facility, Adult Care Home in Brooklyn Park, MN. Organization (NPI-2).
NPI number1023254331
StatusActive
Last updated in NPPESDec 17, 2008
Details
- NPI
- 1023254331
- Entity type
- Organization (NPI-2)
- Legal business name
- Kimberly Homes LLC
- Organization subpart
- No
- Enumeration date
- Dec 17, 2008
- Last updated
- Dec 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
Practice location
8041 Scott Ave NBrooklyn Park, MN 55443-2353
Phone 763-742-8271
Mailing address
8041 Scott Ave NBrooklyn Park, MN 55443-2353
Authorized official
Kimberly Ray
Partner
7637428271
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