| NPI | 1376389817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA RUTH PALACIOS Al Director 612-306-7838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-07-03 |