| NPI | 1588058911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIDELA VILLANUEVA President 612-724-1593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 2809378) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |