| NPI | 1033754676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIBELLE R JARDIO Owner 612-308-1220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2020-06-04 |