| NPI | 1649902131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA RICE Owner 612-207-5699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 174200000X |
| 177F00000X Lodging | |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2022-06-24 |