| NPI | 1437916087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAIWO DOSUMU Director/Owner 507-202-4554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 385H00000X Respite Care |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2025-09-11 |