Organization
KAY GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUNA KHALIF SHEIKHABU (OWNER/MANAGER/BILLER)
(612) 545-7533
Entity
Organization
Contact information
Practice address
1520 CONCORDIA AVE, SAINT PAUL, MN 55104-5310
(612) 545-7533
Mailing address
1520 CONCORDIA AVE, SAINT PAUL, MN 55104-5310
(612) 545-7533
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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