| NPI | 1104323773 |
|---|---|
| Doing Business As | AUTUMN GLEN SENIOR LIVING |
| Entity Type | Organization |
| Authorized Contact | JAMES A WEICHERT Director Of General Partner 952-361-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 381474) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-06-19 |