| NPI | 1033415070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE E LEMIEUX President 651-454-4801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: MN 349940) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-02-09 |