Organization
GABBY CARE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH OMURWA (ADMINISTRATOR)
(612) 481-3138
Entity
Organization
Contact information
Practice address
1512 PENNSYLVANIA AVE N, CHAMPLIN, MN 55316-2017
(612) 481-3138
Mailing address
18594 TYLER ST NW, ELK RIVER, MN 55330-4509
(612) 481-3138
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
386618
MN
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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