| NPI | 1114669801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM G TOTIMEH President & CEO 763-898-9162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2022-04-12 |