| NPI | 1801155999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY LYNN HANSEN Owner/Operator 612-232-9446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 3592) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |