| NPI | 1750170130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDULLAHI OMAR President 612-404-6892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-05-02 |