| NPI | 1588349096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM KERUBO ORUCHO Assisted Living Director 763-516-8536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-06-21 |