Organization
GENTLE CARE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LABAN NYAOSI ATEMBA (MANAGER)
(612) 532-0019
Entity
Organization
Contact information
Practice address
10921 JERSEY CT N, CHAMPLIN, MN 55316-3825
(612) 532-0019
Mailing address
10921 JERSEY CT N, CHAMPLIN, MN 55316-3825
(612) 532-0019
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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