NPI | 1215150867 |
---|---|
Entity Type | Organization |
Authorized Contact | BEVERLY BURMAN Executive Director 320-365-3748 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: MN 802115) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2020-08-22 |