| NPI | 1437957461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY DARNELL SCOTT Director/Managing Agent 612-327-0573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 177F00000X Lodging |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 315P00000X Intermediate Care Facility, Mentally Retarded | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 174200000X Meals | |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-05 |