| NPI | 1992877880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA DOONER Executive Director 763-550-1774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 21434) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |