NPI 1407336118
Royal Star Residence, INC.
Practice location
- Address
- 5701 Shingle Creek Pkwy N Suite 500q, Brooklyn Center, MN 55430-2386
- Phone
- (763) 442-5136
Authorised official
- Name
- Christian Kanmue Kolleh
- Title
- Executive Director
- Phone
- (763) 442-5136
Registered specialties
Nursing Care Agency
Primary
Registry record
- NPI
- 1407336118
- Entity type
- Organization
- NPI issued
- 21 Aug 2018
- Record last updated
- 9 Dec 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.