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Kubra Residential Center
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Burnsville, Minnesota
NPI 1750839569

Kubra Residential Center is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Burnsville, MN. Kubra Residential Center practices in Burnsville, MN. The NPI Number for Kubra Residential Center is 1750839569 and holds a License No. (Minnesota).

The current practice location address for Kubra Residential Center is 1711 W 143Rd St Apt 120, Burnsville, MN and can be reached out via phone at 612-224-4343.

Location: 1711 W 143Rd St Apt 120, Burnsville, MN, 55306-7989
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750839569
Provider Name
Kubra Residential Center
Credential
Provider Entity Type
Organization
Address
1711 W 143Rd St Apt 120, Burnsville, MN, 55306-7989
Phone Number
612-224-4343
Fax Number
Provider Enumeration Date
09/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1711 W 143Rd St Apt 120
City
Burnsville
State
Minnesota
Zip
55306-7989
Phone Number
612-224-4343
Fax Number
person
Provider Business Mailing Address Details
Address
1711 W 143Rd St Apt 120
City
Burnsville
State
Minnesota
Zip
55306-7989
Phone Number
612-224-4343
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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