| NPI | 1003643578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMOUD EGAL Chief Executive Officer 651-347-1747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 311500000X Alzheimer Center (Dementia Center) | |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2025-03-05 |