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Organization

COMMUNITY ONE LLC

Active
Other names
Community One LLC
Organization subpart
No

Provider details

NPI number
Authorized official
HODAN H ROBLE (EXECUTIVE DIRECTOR)
(507) 319-1906
Entity
Organization

Contact information

Practice address
11972 PORTLAND AVE, BURNSVILLE, MN 55337-1516
(507) 319-1906
(651) 344-4378
Mailing address
11972 PORTLAND AVE, BURNSVILLE, MN 55337-1516
(507) 319-1906
(651) 344-4378

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
11/01/2021
Last updated
11/11/2024
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