| NPI | 1508737131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIMA A MOHAMED Director 763-910-3792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2025-09-16 |