| NPI | 1427813922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON P ATO-DAVIES CEO 612-203-5793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-02-14 |