| NPI | 1215425616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATINUKE LADIPO Director 612-701-3760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 251E00000X Home Health (Licence: MN 385786) | |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2019-01-22 |