| NPI | 1053137729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELOHOR BLESSING GORDON CEO 612-886-4909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2025-04-28 |