| NPI | 1063589562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLA RIMA Owner Operator 218-327-2623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MN 1032528-1-AFC) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |