| NPI | 1982353157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALADE LATEEF HAMZA Managing Director 763-477-8151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-03-23 |