| NPI | 1093434151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAJA DEAN Designated Coordinator 612-459-2724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2023-09-29 |