Organization
TUSMO CARE HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAHJO A DIRIE (MANAGER)
(763) 528-3908
Entity
Organization
Contact information
Practice address
19198 HILLDALE AVE, LAKEVILLE, MN 55044-7955
(763) 528-3908
Mailing address
19198 HILLDALE AVE, LAKEVILLE, MN 55044-7955
(763) 528-3908
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/04/2021
Last updated
09/04/2021
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