| NPI | 1295398857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATEEF OLARINDE Administrator 763-350-4496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2019-04-19 |