| NPI | 1093882730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA LISA JUNTILLA President 612-735-8480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 330876) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |