| NPI | 1386453744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSAN BULUF Owner 612-703-6083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2024-12-31 |
| Last Update Date | 2024-12-31 |