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 Service |
Enumeration Date | 2023-04-20 |
Last Update Date | 2023-04-20 |