Organization
ILZA ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIMAHAD MOHAMED SANTUR DIRECTOR (OWNER)
(952) 652-1484
Entity
Organization
Contact information
Practice address
118 KNOLL CIR E, BURNSVILLE, MN 55337-4036
(952) 652-1484
Mailing address
118 KNOLL CIR E, BURNSVILLE, MN 55337-4036
(952) 652-1484
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
02/12/2025
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