| NPI | 1033810015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAGAL ABDURAHMAN MOHAMED Assisted Living Director 612-229-4752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-03-15 |