Organization · NPI-2

Kekeli Care Center LLC

Assisted Living Facility · Maple Grove, MN

NPI number1376310193
StatusActive
Last updated in NPPESDec 11, 2023

Details

NPI
1376310193
Entity type
Organization (NPI-2)
Legal business name
Kekeli Care Center LLC
Organization subpart
No
Enumeration date
Dec 11, 2023
Certification date
Dec 11, 2023
Last updated
Dec 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Practice location

18315 82nd Pl N
Maple Grove, MN 55311-1627

Phone 952-955-7502

Mailing address

18315 82nd Pl N
Maple Grove, MN 55311-1627

Phone 952-955-7502

Authorized official

Folly D Dossevi
Manager
9522015712

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