| NPI | 1619262169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GULED HUSSEIN MOHAMOUD Owner/President 612-636-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MN 1058148) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |