NPI | 1679219653 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL OBWAYA Owner/RN/Assit. Admin 952-649-1097 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
Enumeration Date | 2022-05-11 |
Last Update Date | 2022-05-11 |