| NPI | 1902493851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIFATAH ISSE NUUH Owner/Manager 612-242-0673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2020-12-27 |
| Last Update Date | 2023-06-12 |