| NPI | 1770280976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAFA S MOHAMED Owner 651-307-3943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2023-02-08 |