| NPI | 1861380602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PATRICIA RODENBERG-ROBERTS Chief Regulatory Officer Sr Asst Gc 952-836-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2026-08-11 |