| NPI | 1588031496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADESOLA OLAYINKA OGUNDIPE Administrator 612-272-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MN 1072626) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |