| NPI | 1144930199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGATHA MANJOE TUMBEY Partner 763-210-8340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-11-30 |