| NPI | 1396993036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE OSARO OHENZUWA Director 763-464-4072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN HE0108404) |
| Enumeration Date | 2008-09-07 |
| Last Update Date | 2008-09-07 |