| NPI | 1366502882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADESOLA O OGUNDIPE Administrator 651-631-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 330588) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MN 331795) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |