| NPI | 1366877102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARIDA J FARAH President 612-229-3829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MN 29687/29688) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |