NPI | 1134268030 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA JOANNE SHRIVER CEO 320-231-2738 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 434214300) |
Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: MN 402971200) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2008-06-16 |