| NPI | 1013296748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ROSETTA CASSELL Owner 651-459-2981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: MN R148311-8) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |