| NPI | 1770799348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON KAY ELSNER Owner Operator 320-763-4950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MN 2295523AFC) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |