| NPI | 1326637190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MYERS Vice President Of Operations 651-492-6535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2021-01-15 |