| NPI | 1437524840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MURPHY Owner 218-864-9985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MN 1046802-9 AFC) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |