| NPI | 1073090429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH OMURWA Administrator 612-481-3138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 386618) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |