Organization · NPI-2
1 On 1 Comprehensive Healthcare Solution LLC
Assisted Living Facility · Maple Grove, MN
NPI number1376230169
StatusActive
Last updated in NPPESApr 20, 2023
Details
- NPI
- 1376230169
- Entity type
- Organization (NPI-2)
- Legal business name
- 1 On 1 Comprehensive Healthcare Solution LLC
- Organization subpart
- No
- Enumeration date
- Apr 20, 2023
- Certification date
- Apr 20, 2023
- Last updated
- Apr 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
| 261QH0100X | Clinic/Center, Health Services | – | – |
Practice location
14967 95th Pl NMaple Grove, MN 55369-8537
Phone 612-237-8725 · Fax 763-515-3351
Mailing address
14967 95th Pl NMaple Grove, MN 55369-8537
Phone 612-237-8725 · Fax 763-515-3351
Authorized official
Karlu Dorleh
Owner
6122378725
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