| NPI | 1649752619 |
|---|---|
| Doing Business As | GLENN BUFFALO, LLC |
| Entity Type | Organization |
| Authorized Contact | LORI ANN MCGUIRE Director Of Senior Housing 763-377-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-27 |