| NPI | 1245982297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFREN VALDEZ MALONG Assisted Living Director 651-500-5339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-01-20 |