RESIDENTIAL CARE AT NINE MILE CREEK NPI 1154794089

NPI Information

RESIDENTIAL CARE AT NINE MILE CREEK is an assisted living facility in Bloomington, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. RESIDENTIAL CARE AT NINE MILE CREEK NPI is 1154794089. The provider is registered as an organization entity type.

The provider's business location address is:

10641 JAMES RD
BLOOMINGTON, MN
ZIP 55431-130
Phone: (952) 229-4213

The provider's authorized official is Sadik Ali Abdi .
The authorized official title is Owner and has the following contact phone number (612) 978-2238.

The CLIA number assigned to this NPI record is 24D2115966 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2015 and was last updated on 10/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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