| NPI | 1396200416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASSIN A IBRAHIM President 612-203-5035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2019-02-02 |
| Last Update Date | 2019-02-02 |