| NPI | 1316994114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIS ANN PALMER Owner/Administrator 507-388-9964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MN 1005205) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MN 1005246) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |