Organization
A&R OPEN DOOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ACKIM HAAMANKULI (PRESIDENT)
(763) 519-1159
Entity
Organization
Contact information
Practice address
14215 46TH PL N, PLYMOUTH, MN 55446-3494
(763) 519-1159
(763) 519-0061
Mailing address
14215 46TH PL N, PLYMOUTH, MN 55446-3494
(763) 519-1159
(763) 519-0061
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
337754
MN
310400000X
Assisted Living Facility
337757
MN
311ZA0620X
Adult Care Home Facility
Primary
337518
MN
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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