| NPI | 1205689544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM NUR OSMAN Administrator 612-248-1261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |