| NPI | 1154988236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNIE VIGGIANO VP, Home & Community Based Services 651-529-8788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |