| NPI | 1033938675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AEYSHA NUR Owner 651-239-8745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-09 |