| NPI | 1619199916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY JEAN CLOOSE President 218-333-3854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 332829) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |