| NPI | 1710050836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY J MYERS Residence Director 651-554-4838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 333707) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |