Organization
KINGSLAND CARE SERVICES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT ABOUDEM ATEMKENG BSW, MSW, LGSW (CHIEF EXECUTIVE OFFICE)
(651) 500-9053
Entity
Organization
Contact information
Practice address
2301 RICE STREET, SUITE 101, ROSEVILLE, MN 55113
(651) 262-2540
(651) 493-8895
Mailing address
2301 RICE STREET, SUITE 101, ROSEVILLE, MN 55113
(651) 262-2540
(651) 493-8895
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A707458100
—
MN
Enumeration date
12/08/2017
Last updated
06/11/2019
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