| NPI | 1942404983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIA JAMILA SOGBEH Owner 612-245-1658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN R166070-8) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |