| NPI | 1336584606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON BORGSTROM Owner 320-290-6527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health (Licence: MN 381347) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2018-04-27 |