| NPI | 1194044875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA ELIZABETH JOHANSSON Owner/Director 651-398-2294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MN 24337) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2010-05-20 |