| NPI | 1851162655 |
|---|---|
| Other Name | EVERGREEN RED ROBIN HOME |
| Entity Type | Organization |
| Authorized Contact | EUNIE BUFORD President 651-280-0210 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-10 |