| NPI | 1528316346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BALA Owner/President 218-790-6427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 354468) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |