| NPI | 1639349137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLICENT WARRINGTON Nursing Director 612-366-0056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 338278) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |