| NPI | 1649779828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAPHAEL OZURUMBA Administrator 651-336-6815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health (Licence: MN 385032) |
| 251E00000X Home Health | |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2023-01-25 |