Organization · NPI-2

B.A Comfort Life Homecare LLC

Assisted Living Facility · Brooklyn Park, MN

NPI number1215577960

StatusActive

Last updated in NPPESJan 10, 2020

Details

NPI: 1215577960
Entity type: Organization (NPI-2)
Legal business name: B.A Comfort Life Homecare LLC
Organization subpart: No
Enumeration date: Jan 10, 2020
Certification date: Jan 10, 2020
Last updated: Jan 10, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
310400000X	Assisted Living Facility	–	–	Yes
251E00000X	Home Health	–	–
251J00000X	Nursing Care	–	–
253Z00000X	In Home Supportive Care	–	–
310500000X	Intermediate Care Facility, Mental Illness	–	–
3104A0630X	Assisted Living Facility, Assisted Living, Behavioral Disturbances	–	–

Practice location

4325 83rd Cir N
Brooklyn Park, MN 55443-2550

Phone 612-226-5905

Mailing address

3300 County Road 10 Ste 204f
Brooklyn Center, MN 55429-3072

Phone 612-226-5905

Authorized official

Joshua Frank Abuki
Owner/Director
6122265905

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