| NPI | 1679894364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHA HIBAD Owner 612-709-3686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MN 10565881) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |