| NPI | 1811526148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSSEIN AHMED HASSAN Director 612-913-6133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-04-07 |