| NPI | 1952080731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY MING'ATE Assisted Living Director 612-245-5167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |