| NPI | 1679561153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWIE GROFF President 952-888-2923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 329127) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MN 328951) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2020-08-22 |