OrganizationActive
Kubra Residential Center
NPI 1750839569 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Burnsville, MN
Provider details
- NPI number
- 1750839569
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kawsar Jama, Owner(612) 224-4343
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
1711 W 143rd St Apt 120
Burnsville, MN 55306-7989
Phone: (612) 224-4343
Approximate (ZIP-level) locationGet directions
Mailing address
1711 W 143rd St Apt 120
Burnsville, MN 55306-7989
Registry dates
- Enumerated
- 2016-09-21
- Last updated
- 2016-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.