| NPI | 1114153152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDULLAHI HUSSEIN DAUD President 612-298-1968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: MN 344232) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2009-06-04 |