| NPI | 1821519380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATIMA ALI MOHAMUD Owner 612-255-3110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health (Licence: MN 381622) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2022-03-03 |