| NPI | 1518489152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHAD AHMED MURSAL Owner 320-282-3245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MN 1087679) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-07-14 |