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Organization
SOLACE ASSISTED LIVING
Active
Organization
SOLACE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UBAH A YUSUF (MANAGER)
(612) 229-1637
Entity
Organization
Contact information
Practice address
6718 QUAIL AVE N, BROOKLYN CENTER, MN 55429-1656
(612) 814-8012
Mailing address
6718 QUAIL AVE N, BROOKLYN CENTER, MN 55429-1656
(612) 814-8012
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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