Organization
LUELLA'S HOUSE OF CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR SAYID-AHMED (OWNER)
(612) 564-8609
Entity
Organization
Contact information
Practice address
151 SILVER LAKE RD SUITE #2, NEW BRIGHTON, MN 55112
(612) 564-8609
(612) 564-8609
Mailing address
151 SILVER LAKE RD SUITE #2, NEW BRIGHTON, MN 55112
(612) 564-8609
(612) 564-8609
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
09/08/2007
Last updated
11/25/2013
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