| NPI | 1114722097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIASIS HIRSI Director 612-298-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-02-15 |
| Last Update Date | 2025-02-15 |