| NPI | 1326486069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI KRESS CEO 651-789-5906 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251J00000X Nursing Care |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2024-10-08 |