NPI | 1427763580 |
---|---|
Doing Business As | WILDWOOD ASSISTED LIVING |
Entity Type | Organization |
Authorized Contact | AMIN YOUSUF CEO 763-744-7960 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2023-01-23 |
Last Update Date | 2023-01-23 |