Organization
GADDI HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT MIKAYE (MANAGER)
(612) 203-7090
Entity
Organization
Contact information
Practice address
8308 LYNDALE AVE S, BLOOMINGTON, MN 55420-2263
(612) 314-9950
Mailing address
8308 LYNDALE AVE S, BLOOMINGTON, MN 55420-2263
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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