| NPI | 1528728268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN GUNSOLUS Authorized Agent 507-720-2461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 311500000X Alzheimer Center (Dementia Center) | |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2021-12-22 |