High Drive Customized/assisted Living LLC
NPI #1013605518 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1013605518
- Entity Type
- Organization
- Organization Name
- High Drive Customized/assisted Living LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 24, 2023
- Last Updated
- Apr 24, 2023
Practice Location
- Address
- 13813 HIGH DR
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55337-4740
- Phone
- (763) 228-1804
Authorized Official
- Name
- MR. ANBASSA HAWIYA BUKULA, NA
- Title
- PROGRAM MANAGER (OWNER)
- Phone
- (763) 228-1804
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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