Organization · NPI-2

Heartfelt Care LLC

Assisted Living Facility · Maple Grove, MN

NPI number1215476148
StatusActive
Last updated in NPPESFeb 12, 2017

Details

NPI
1215476148
Entity type
Organization (NPI-2)
Legal business name
Heartfelt Care LLC
Organization subpart
No
Enumeration date
Feb 12, 2017
Last updated
Feb 12, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes
311500000X Alzheimer Center (Dementia Center)––

Practice location

10344 Boundary Creek Ter
Maple Grove, MN 55369-2841

Phone 612-226-5157

Mailing address

3050 Quinwood Ln N
Plymouth, MN 55441-2807

Phone 612-226-5157

Authorized official

Ayehu Mengesha
Owner
6122265157

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