| NPI | 1871367714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYONNA MARTIA MAYS CEO 612-584-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 177F00000X Lodging |
| 253Z00000X In Home Supportive Care | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2023-11-10 |