Organization
MICHAELA RESIDENTIAL CARE LLC
Active
Other names
Michaela Residential Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER GOBAH FARES (ADMINISTRATOR/OWNER)
(952) 688-1026
Entity
Organization
Contact information
Practice address
312 74TH AVE N, BROOKLYN PARK, MN 55444-3000
(952) 688-1026
Mailing address
312 74TH AVE N, BROOKLYN PARK, MN 55444-3000
(952) 688-1026
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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