| NPI | 1164100715 |
|---|---|
| Doing Business As | SOUTHWEST COMMONS ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | ALEX MASSOPUST CAO 952-241-8211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-07-05 |