| NPI | 1417617291 |
|---|---|
| Doing Business As | ELDER HOMESTEAD |
| Entity Type | Organization |
| Authorized Contact | NANCY GAVIN Ass't Secretary 612-428-7840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2021-12-21 |