# KIMBERLY HOMES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023254331
- **Authorized official:** KIMBERLY RAY (PARTNER)
- **Authorized official phone:** (763) 742-8271

## Contact information

- **Practice address:** 8041 SCOTT AVE N, BROOKLYN PARK, MN 55443-2353
- **Practice address phone:** (763) 742-8271
- **Mailing address:** 8041 SCOTT AVE N, BROOKLYN PARK, MN 55443-2353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/17/2008
- **Last updated:** 12/17/2008