| NPI | 1609643410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED ABDI MOHAMED Director 507-213-1673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2024-02-28 |