| NPI | 1871421222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHERWAYIA THAO Owner / Administrator 612-759-2379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2026-05-13 |
| Last Update Date | 2026-05-13 |