| NPI | 1326709478 |
|---|---|
| Doing Business As | VILLAGE SHORES |
| Entity Type | Organization |
| Authorized Contact | NIKI BALLINGRUD RN 612-720-0591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-12-31 |
| Last Update Date | 2021-12-31 |