| NPI | 1700562543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD S AKANDE Director 651-755-5447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-06-26 |