| NPI | 1811463573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFRAH OSMAN MOHAMED Owner/Manager 651-494-8532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 174200000X Meals |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| 347C00000X Private Vehicle | |
| 251J00000X Nursing Care | |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2025-11-12 |