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Organization

SERENITY LIVING SOLUTIONS OF BLACKDUCK LLC

Active
Other names
Serenity Living Solutions of Blackduck
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ABDULLAHI OMAR (PRESIDENT)
(651) 374-1619
Entity
Organization

Contact information

Practice address
441 4TH ST NE, BLACKDUCK, MN 56630-2167
(651) 374-1619
Mailing address
2277 HIGHWAY 36 W STE 300, ROSEVILLE, MN 55113-3830
(651) 374-1619

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
12/12/2024
Last updated
12/12/2024
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