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Organization

GABBY CARE HOMES LLC

Active
Parent organization
GABBY CARE HOMES LLC
Other names
Gabby Care Homes LLC - Cilla House, Gabby Care Homes LLC - Fort Lee House
Organization subpart
Yes

Provider details

NPI number
Legal business name
GABBY CARE HOMES LLC
Authorized official
FAITH OMURWA (ADMINISTRATOR)
(612) 481-3138
Entity
Organization

Contact information

Practice address
1500 PENNSYLVANIA AVE N, CHAMPLIN, MN 55316-2017
(612) 481-3138
Mailing address
18594 TYLER ST NW, ELK RIVER, MN 55330-4509
(612) 481-3138

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
3104A0625X
Assisted Living Facility (Mental Illness)

Other

Enumeration date
12/09/2019
Last updated
09/15/2020
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