| NPI | 1720462617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH PAULEY Business Manager 651-287-0265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 372756) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |