Organization
KEKELI CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOLLY D DOSSEVI (MANAGER)
(952) 201-5712
Entity
Organization
Contact information
Practice address
18315 82ND PL N, MAPLE GROVE, MN 55311-1627
(952) 955-7502
Mailing address
18315 82ND PL N, MAPLE GROVE, MN 55311-1627
(952) 955-7502
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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