| NPI | 1366566572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA SUE DOONER Director 763-550-1774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 334473) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2008-04-25 |