| NPI | 1689374803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UBAH A YUSUF Manager 612-229-1637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-03-07 |