| NPI | 1154567436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE IHIOMA ONYEKABA Director 612-978-3783 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MN 338043) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MN 342349) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2008-12-17 |