NPI | 1952568511 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA DORR Owner 612-719-2915 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 10459191AFB) |
Enumeration Date | 2008-05-21 |
Last Update Date | 2008-05-21 |