| NPI | 1073838363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JEONG Account Manager 612-968-9134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 1048607-1-afc) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |