NPI | 1003085317 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES IMASUEN Director 952-831-4591 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 337432) |
Enumeration Date | 2008-02-21 |
Last Update Date | 2008-02-21 |