Organization
ROYAL STAR RESIDENCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTIAN KANMUE KOLLEH (EXECUTIVE DIRECTOR)
(763) 442-5136
Entity
Organization
Contact information
Practice address
5701 SHINGLE CREEK PKWY N, SUITE 500Q, BROOKLYN CENTER, MN 55430-2386
(763) 442-5136
Mailing address
5701 SHINGLE CREEK PKWY N, SUITE 500Q, BROOKLYN CENTER, MN 55430-2386
(763) 442-5136
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
12/09/2019
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