| NPI | 1770181679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIE KPANAKU Administrator, Owner 763-321-1278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2021-09-23 |