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Organization
GRACEFUL LIVING LLC
Active
Organization
GRACEFUL LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISTAHIL MOHAMED ALI (PRESIDENT & CEO)
(612) 472-2983
Entity
Organization
Contact information
Practice address
17862 ESSEX LN, LAKEVILLE, MN 55044-4825
(612) 472-2983
Mailing address
17862 ESSEX LN, LAKEVILLE, MN 55044-4825
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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