| NPI | 1538304712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY P. WEHYEE President/CEO 651-336-3018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2008-12-02 |