| NPI | 1194981951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAHRA A YUSUF Managing Member 763-482-9206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MN N/A) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |