| NPI | 1699384131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHODA PAPPOE Owner 763-432-6557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
| 311500000X Alzheimer Center (Dementia Center) | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |