| NPI | 1386238426 |
|---|---|
| Doing Business As | HAVENWOOD OF MAPLE GROVE |
| Entity Type | Organization |
| Authorized Contact | LISA PADGETT Director Of Revenue 612-827-8357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-03-01 |