| NPI | 1992470207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A WEICHERT Authorized Official/Owner 952-361-8000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2021-08-10 |