NPI | 1396980017 |
---|---|
Entity Type | Organization |
Authorized Contact | VIJWANTIE SIRJU CEO/Owner 651-230-5088 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MN 1047414-2-AFC) |
Enumeration Date | 2008-12-09 |
Last Update Date | 2008-12-09 |