| NPI | 1144459173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHID SHEIKH MOHAMUD Manager 612-242-5612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |