NPI | 1790478329 |
---|---|
Entity Type | Organization |
Authorized Contact | OPHELIA KPEWOAN Owner 763-516-8545 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
Enumeration Date | 2023-05-30 |
Last Update Date | 2023-05-31 |