| NPI | 1750708509 |
|---|---|
| Other Name | JOHANNA SHORES |
| Entity Type | Organization |
| Authorized Contact | MARK MEYER CFO 651-631-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 357339) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2014-03-18 |