Organization
MAPLEWOOD ASSISTED LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SULEYMAN KAWO (OWNER)
(763) 923-5651
Entity
Organization
Contact information
Practice address
1799 EDGERTON ST, MAPLEWOOD, MN 55117-2420
(763) 923-5651
Mailing address
1799 EDGERTON ST, MAPLEWOOD, MN 55117-2420
(763) 923-5651
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40848
—
MN
05
—
5C536G
—
MN
05
—
FHHD2H
—
MN
Enumeration date
04/25/2022
Last updated
03/12/2025
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