| NPI | 1710586649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUSSUF OMAR ABDI Director 612-598-4120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251S00000X | |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2021-07-28 |