| NPI | 1518601400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL D WILLIAMS Administrator 612-615-0061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2023-03-02 |