| NPI | 1952877086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAFA NOOR SAID Owner 612-701-5965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |