| NPI | 1235127721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWIE GROFF President 952-888-2923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NE 054001) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NE ALF233) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2023-09-22 |