Community Boarding Care

NPI #1629498035 in Minneapolis, Minnesota

Provider Information

NPI Number
1629498035
Entity Type
Organization
Organization Name
Community Boarding Care
Primary Specialty
Custodial Care Facility
Enumeration Date
Apr 24, 2014
Last Updated
Apr 24, 2014

Practice Location

Address
2219 OAKLAND AVE # 110
ZIP Code
55404-3749
Phone
(612) 296-3708

Authorized Official

Name
MOHAMED BIDARE, DIRECTOR
Title
OWNER
Phone
(612) 296-3708

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility

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