| NPI | 1740637859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE G POLK-PEARSON CEO 763-229-2287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN HFID - 32338) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |