| NPI | 1811785322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE MKALAMA Certified Nurse Practitioner 612-483-1045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2025-04-26 |
| Last Update Date | 2025-04-26 |