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Organization

LILLY J'S HOUSING & SERVICES L.L.C.

Active
Other names
Lilly J's Housing & Services L.L.C.
Organization subpart
No

Provider details

NPI number
Authorized official
NATALEE ALEXANDRA SUCKOO REGISTERED NURSE (CEO)
(612) 458-4545
Entity
Organization

Contact information

Practice address
111 63 1/2 WAY NE, FRIDLEY, MN 55432-4819
(612) 458-4545
(763) 205-2479
Mailing address
111 63 1/2 WAY NE, FRIDLEY, MN 55432-4819
(612) 458-4545
(763) 205-2479

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
02/14/2022
Last updated
03/13/2022
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