| NPI | 1134894447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A WEICHERT Authorized Official/Owner 952-361-8000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2021-08-10 |