| NPI | 1609315001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDI YUSUF CEO 612-475-6532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |