| NPI | 1407648108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UBAH KHAIREH CEO/Operator 763-269-9996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-08-08 |