Organization
OPTIMAL HOME OF MAPLE GROVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMAYO MOHAMUD (ADMINISTRATOR)
(773) 951-0691
Entity
Organization
Contact information
Practice address
9261 FORESTVIEW LN N, MAPLE GROVE, MN 55369-3944
(773) 951-0691
Mailing address
9261 FORESTVIEW LN N, MAPLE GROVE, MN 55369-3944
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/17/2024
Last updated
08/17/2024
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