| NPI | 1538433677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE BANTLE VP Of Assisted Living Operations 763-202-5037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2025-03-10 |