| NPI | 1972936714 |
|---|---|
| Doing Business As | NASRA S GONJOBE AND ABDI G GONJOBE |
| Entity Type | Organization |
| Authorized Contact | ABDI G GONJOBE Administrator 651-230-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: MN 1056572-2-AFC) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |