| NPI | 1194854026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE M JOHNSON Executive Director 612-824-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 333403) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |