| NPI | 1760751440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE ROMERO RN Adminstrator 651-200-3082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 355991) |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2011-12-23 |