# GIIR HOME LLC

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

## Provider details

- **NPI number:** 1235673898
- **Authorized official:** MR. MUSTAFA HASSAN AHMED (DIRECTOR)
- **Authorized official phone:** (952) 220-9158

## Contact information

- **Practice address:** 2910 PILLSBURY AVE S, MINNEAPOLIS, MN 55408-2297
- **Practice address phone:** (952) 220-9158
- **Practice address fax:** (612) 465-5750
- **Mailing address:** 2910 PILLSBURY AVE S, MINNEAPOLIS, MN 55408-2297
- **Mailing address phone:** (952) 220-9158
- **Mailing address fax:** (612) 465-5750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 12/15/2016
- **Last updated:** 12/15/2016
