| NPI | 1013373117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA WILLIAM CESARO-MOXLEY Administrator 651-485-8738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 25755) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: MN 25755) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |