| NPI | 1447036728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN KERUBO NYAENYA Assisted Living Director 612-242-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2023-09-04 |