| NPI | 1265928295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENELLEN DE LOS SANTOS Owner 651-468-8438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |