| NPI | 1962624213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIA JAMILA SOGBEH Registered Nurse 612-245-1658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN R166070-8) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |