| NPI | 1144693136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA WILLIAM CESARO-MOXLEY Administrator 651-485-8738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 25755) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: MN 25755) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2017-04-14 |