NPI | 1225436249 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON PETERSON-SCHMIT Owner 320-980-1024 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: MN 1075689-HCBS) |
Enumeration Date | 2014-12-08 |
Last Update Date | 2014-12-08 |