Organization
KIMBERLY HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY RAY (PARTNER)
(763) 742-8271
Entity
Organization
Contact information
Practice address
8041 SCOTT AVE N, BROOKLYN PARK, MN 55443-2353
(763) 742-8271
Mailing address
8041 SCOTT AVE N, BROOKLYN PARK, MN 55443-2353
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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