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General NPI Number Information
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NPI Number | 1760303481
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Entity Type | Organization
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Legal Business Name | TERRACE HAVEN CARE LLC
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 1220 LINCOLN TER
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City | COLUMBIA HEIGHTS
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State | MN
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Zip | 55421-1921
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Country | US
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Telephone | 612-472-5942
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Fax |
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Provider Business Mailing Address
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Address Line | 135 NATHAN LN N APT S328
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City | PLYMOUTH
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State | MN
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Zip | 55441-6348
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Country | US
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Telephone | 612-472-5942
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | MUNEEB MUSHTAQ
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Credential | LALD
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Telephone | 612-472-5942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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