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Organization
GRACEFUL LIVING MANOR LLC
Active
Organization
GRACEFUL LIVING MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIRIZAK ABDULAHI (OWNER)
(952) 256-4008
Entity
Organization
Contact information
Practice address
2624 BLAISDELL AVE, MINNEAPOLIS, MN 55408-1505
(952) 256-4008
Mailing address
2624 BLAISDELL AVE, MINNEAPOLIS, MN 55408-1505
(952) 256-4008
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/28/2025
Last updated
06/28/2025
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