| NPI | 1114185436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINAH JOY MARTIN Campus Administrator 763-493-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 339337) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |