Organization
KINDLY CARE RESIDENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOTOO KEDIR NEBI (OWNER)
(651) 855-8437
Entity
Organization
Contact information
Practice address
605 WHITALL ST, SAINT PAUL, MN 55130-4155
(651) 855-8437
Mailing address
605 WHITALL ST, SAINT PAUL, MN 55130-4155
(651) 855-8437
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
05/25/2020
Last updated
05/25/2020
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