| NPI | 1972169159 |
|---|---|
| Doing Business As | ROITENBERG FAMILY ASSISTED LIVING RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS WYCKOFF Controller 952-939-1637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-14 |