| NPI | 1619292521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAY HOUA LO Administrator 651-808-5907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 346638) |
| Enumeration Date | 2010-04-03 |
| Last Update Date | 2010-04-03 |