| NPI | 1558233783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICODEMUS WUANTAI NAIMODU Assisted Living Director 612-516-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-09-18 |
| Last Update Date | 2025-09-18 |