Organization
SPES RESIDENTIAL CARE L. L. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARMAAN HAJIHUSSEIN (MANAGING DIRECTOR)
(612) 481-7156
Entity
Organization
Contact information
Practice address
6336 WILRYAN AVE, EDINA, MN 55439-1444
(612) 404-7208
Mailing address
6704 PLEASANT AVE, RICHFIELD, MN 55423-2351
(612) 404-7208
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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