| NPI | 1255625737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACIELA AGNE AVILES RN 651-983-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 1057918-1-AFC) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-06-02 |