| NPI | 1760794580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA SCHILLINGER Business Manager 651-287-0265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN Class F Home Care) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: MN Class F Home Care) |
| 385H00000X Respite Care (Licence: MN Class F Home Care) | |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-09 |