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Organization
ROYAL BLOOM LLC
Active
Organization
ROYAL BLOOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HONORINE NKWAWIR (ADMINISTRATOR)
(763) 439-4361
Entity
Organization
Contact information
Practice address
2658 SCOTLAND CT APT 312, SAINT PAUL, MN 55112-4716
(763) 439-4361
Mailing address
2658 SCOTLAND CT APT 312, SAINT PAUL, MN 55112-4716
(763) 439-4361
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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