Organization
GABBY CARE HOMES LLC
Active
Organization
GABBY CARE HOMES LLC
Active
Parent organization
GABBY CARE HOMES LLC
Other names
Gabby Care Homes LLC - Smith House
Organization subpart
Yes
Provider details
NPI number
Legal business name
GABBY CARE HOMES LLC
Authorized official
SAMUEL OBWAYA RN (OWNER/RN/ASSIT. ADMIN)
(952) 649-1097
Entity
Organization
Contact information
Practice address
1516 PENNSYLVANIA AVE N, CHAMPLIN, MN 55316-2017
(952) 649-1097
Mailing address
18594 TYLER ST NW, ELK RIVER, MN 55330-4509
(952) 649-1097
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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