| NPI | 1144763152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMZA B ADEM Owner 612-331-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: MN 4984) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2018-06-20 |