| NPI | 1477740215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ACKIM HAAMANKULI President 763-519-1159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MN 337518) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MN 337757) |
| 310400000X Assisted Living Facility (Licence: MN 337754) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |