| NPI | 1376230169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLU DORLEH Owner 612-237-8725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |