| NPI | 1427848084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IISHA LAKEYIA JONES Owner 763-245-9359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 314000000X Skilled Nursing Facility | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2025-05-07 |