| NPI | 1962395756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE SUMMERVILLE Clinical Nurse Manager (RN) 952-686-1357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-05-30 |