| NPI | 1184824534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUEENA KOTU SLOAN Lpn/ CEO 763-913-0325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 340738) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MN 340724) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2008-10-27 |