| NPI | 1346730363 |
|---|---|
| Doing Business As | GUARDIAN ANGELS BY THE LAKE |
| Entity Type | Organization |
| Authorized Contact | TROY HANSON VP, CFO 763-241-4445 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |