Kubra Residential Center

NPI #1750839569 in Burnsville, Minnesota

Provider Information

NPI Number: 1750839569
Entity Type: Organization
Organization Name: Kubra Residential Center
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 21, 2016
Last Updated: Sep 21, 2016

Practice Location

Address: 1711 W 143RD ST APT 120
City: Burnsville
State: Minnesota
ZIP Code: 55306-7989
Phone: (612) 224-4343

Authorized Official

Name: MS. KAWSAR ABDI JAMA
Title: OWNER
Phone: (612) 224-4343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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