Organization
TRUSTED HAVEN ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHINEDU AGBONGHAI (CO-OWNER)
(612) 447-8396
Entity
Organization
Contact information
Practice address
5754 HUMBOLDT AVE N, BROOKLYN CENTER, MN 55430-2636
(612) 447-8396
Mailing address
5754 HUMBOLDT AVE N, BROOKLYN CENTER, MN 55430-2636
(612) 447-8396
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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