| NPI | 1427186519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE CAROLINE HAUSMAN Director Owner Operator 651-437-9204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN HOUSING WITH SERVICE) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MN CLASS F HOMECARE PRO) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |