NPI | 1548074636 |
---|---|
Entity Type | Organization |
Authorized Contact | ABDULLAHI JAMA President 612-438-9343 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Additional Taxonomies | 310400000X Assisted Living Facility |
Enumeration Date | 2025-02-06 |
Last Update Date | 2025-02-06 |