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Organization

SECOND STORY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MUKHTAR DAHIR (OWNER)
(763) 346-0311
Entity
Organization

Contact information

Practice address
1013 W RIVER RD, CHAMPLIN, MN 55316-2002
(763) 346-0311
Mailing address
5273 OAK GROVE PKWY N, BROOKLYN PARK, MN 55443-4401
(763) 346-0311

Taxonomy

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

Other

Enumeration date
04/09/2026
Last updated
04/09/2026
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