| NPI | 1184389256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELECHI TONYE Owner 612-402-9458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2024-02-09 |