| NPI | 1962177444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEELOCHANI STADTHERR Director Of Reimbursement 952-855-5041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2021-08-16 |