Kindly Care Resident LLC
Assisted Living Facility in Saint Paul, MN. Organization (NPI-2).
NPI number1124641196
StatusActive
Last updated in NPPESMay 25, 2020
Details
- NPI
- 1124641196
- Entity type
- Organization (NPI-2)
- Legal business name
- Kindly Care Resident LLC
- Organization subpart
- No
- Enumeration date
- May 25, 2020
- Certification date
- May 25, 2020
- Last updated
- May 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | |
| 251J00000X | Nursing Care | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
605 Whitall StSaint Paul, MN 55130-4155
Phone 651-855-8437
Mailing address
605 Whitall StSaint Paul, MN 55130-4155
Phone 651-855-8437
Authorized official
Dotoo Kedir Nebi
Owner
6518558437
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