| NPI | 1659607539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE BERRES CEO 651-646-8703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MN 191225-4-AFC) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-27 |