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Organization
MTC SENIOR RESIDENCE
Active
Organization
MTC SENIOR RESIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED AMBO (DIRECTOR)
(651) 434-2389
Entity
Organization
Contact information
Practice address
1702 ABELL ST, MAPLEWOOD, MN 55117-2302
(651) 434-2389
Mailing address
2600 SPRUCE ST, LITTLE CANADA, MN 55117-1419
(651) 434-2389
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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