| NPI | 1194405407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIRAHMAN A JAMA Director 952-444-9606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2024-09-13 |