| NPI | 1578504437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE GUSTAFSON President 952-361-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 329867) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2008-07-11 |