NPI | 1699380683 |
---|---|
Entity Type | Organization |
Authorized Contact | FAITH OMURWA Administrator/RN 612-481-3138 |
Organization Subpart ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
Enumeration Date | 2020-09-15 |
Last Update Date | 2022-02-03 |