| NPI | 1427243922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR SAYID-AHMED Owner 612-564-8609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2007-09-08 |
| Last Update Date | 2013-11-25 |