| NPI | 1194518373 |
|---|---|
| Former Legal Business Name | MICHAELA RESIDENTIAL CARE LLC |
| Entity Type | Organization |
| Authorized Contact | ESTHER GOBAH FARES Administrator/Owner 952-688-1026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-05-28 |