| NPI | 1902089923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA K GARLEY Office Manager 612-840-6501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 337096) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |