NPI | 1831436757 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE REITMEYER Owner 218-640-0832 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 360421) |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MN 360418) |
Enumeration Date | 2013-01-11 |
Last Update Date | 2013-01-11 |