Organization
GRACENEST HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYUB HASHI SHARIF (PRESIDENT)
(612) 254-4949
Entity
Organization
Contact information
Practice address
2536 28TH AVE S, MINNEAPOLIS, MN 55406-1312
(612) 254-4949
Mailing address
2536 28TH AVE S, MINNEAPOLIS, MN 55406-1312
(612) 254-4949
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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