| NPI | 1861452278 |
|---|---|
| Doing Business As | ANDREW RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | KAREN MARIE FOY Executive Director 612-333-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-08-22 |