| NPI | 1437402591 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | KORME UKA KOJI President 651-332-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MN 359613) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |