NPI | 1588769087 |
---|---|
Doing Business As | STEVEN'S RESIDENCE |
Entity Type | Organization |
Authorized Contact | FAUN M SPENCER Owner 612-209-0486 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 6479590) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2020-08-22 |