| NPI | 1649721762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA SHEVELEVA President 651-283-6108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MN 1082160) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |