| NPI | 1821187220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI LOUISE KINN Owner 218-751-0583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN FBL-0018779-22147) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-07-17 |