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Organization
FULFILLEDLYF CARE AND COMMUNITY SERVICES LLC
Active
Organization
FULFILLEDLYF CARE AND COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRICE CONSTANTIN NGANADERE SERECKISSY (CEO)
(612) 346-3833
Entity
Organization
Contact information
Practice address
3220 COUNTY ROAD 10 STE 107, BROOKLYN CENTER, MN 55429-3075
(612) 346-3833
(415) 484-7068
Mailing address
3220 COUNTY ROAD 10 STE 107, BROOKLYN CENTER, MN 55429-3075
(612) 346-3833
(415) 484-7068
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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