| NPI | 1740724491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM AKUMA Administrator 612-978-7620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MN 379763) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: MN 379763) |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: MN 379763) | |
| 311Z00000X Custodial Care Facility (Licence: MN 379763) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MN 379763) | |
| 332U00000X Home Delivered Meals (Licence: MN 379763) | |
| 385H00000X Respite Care (Licence: MN 379763) | |
| 385HR2050X Respite Care, Respite Care Camp (Licence: MN 379763) | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: MN 379763) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: MN 379763) | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: MN 379763) | |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2019-01-07 |