| NPI | 1366208704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSPHAT NYAMBATI OMARI Administrator 651-500-8335 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-23 |