| NPI | 1932419504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAO VANG Director 763-245-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: MN A447698000) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-29 |