| NPI | 1609414614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEMI N ABATAN Owner/Director 651-706-2860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251J00000X Nursing Care |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2020-03-28 |