| NPI | 1003130154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MICKELSON Corporate Accounts Receivable Mgr 952-259-4485 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 34436) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |