| NPI | 1235473588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON SPOONER COO Co Owner 763-439-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MS 1067) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |