Organization · NPI-2
Absolute Residential Care L.L.C.
Assisted Living Facility · Minneapolis, MN
NPI number1083311401
StatusActive
Last updated in NPPESFeb 15, 2023
Details
- NPI
- 1083311401
- Entity type
- Organization (NPI-2)
- Legal business name
- Absolute Residential Care L.L.C.
- Organization subpart
- No
- Enumeration date
- Feb 15, 2023
- Certification date
- Feb 15, 2023
- Last updated
- Feb 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
3959 Lyndale Ave N Apt 1Minneapolis, MN 55412-2116
Phone 612-990-0414
Mailing address
9177 Nevada Ave NBrooklyn Park, MN 55445-3257
Phone 612-990-0414
Authorized official
Edao Bakala Dawano
Ceo
6129900414
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