| NPI | 1225189624 |
|---|---|
| Doing Business As | OLD MAIN VILLAGE |
| Entity Type | Organization |
| Authorized Contact | JOHN B. GOODMAN President Of General Partner 952-361-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2020-08-22 |