| NPI | 1407491475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN MCCARTHY CEO 763-516-8304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |