| NPI | 1801972963 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PATRICK IMHANYIANBHO UGIAGBE Administrator 763-227-4131  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 385H00000X Respite Care (Licence: MN 1040454-1-CFC)  | 
| Additional Taxonomies | 251E00000X Home Health | 
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2006-10-31 | 
| Last Update Date | 2025-09-11 |