| NPI | 1528780061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARTUN AHMED ROBLE House Manager 952-395-2470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2022-10-04 |