| NPI | 1215476148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYEHU MENGESHA Owner 612-226-5157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2017-02-12 |
| Last Update Date | 2017-02-12 |