NPI | 1942586532 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 354457) |
Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: MN FBL-26096-34148) |
311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MN 354448) | |
Enumeration Date | 2011-10-26 |
Last Update Date | 2011-10-26 |