| NPI | 1891402988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARAKA TURA Director 651-808-2633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-10-31 |