Grace Group Home Llc
Assisted Living Facility in Minneapolis, MN(View on Map)
Legal Business Name
Grace Group Home Llc
NPI Number
1033778121
NPI Type
Organization
Enumeration Date
06/11/2019
Specialties
(Taxonomies)Name
Code
310400000X
332U00000X
251E00000X
253Z00000X
343900000X
Primary Taxonomy
Yes
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
3538 FREMONT AVE N
3538 FREMONT AVE N
City
Minneapolis
Minneapolis
State
MN
MN
Postal Code
55412
55412
Country
US
US
Telephone Number
(612) 598-9923
(612) 598-9923
Authorized Official
Name
Asia Ali
Title or Position
OWNER/MANAGER
Telephone Number
(612) 598-9923
Identifiers
Identifier
34790
Identifier State
MN
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/11/2019
Provider Address
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