| NPI | 1033440490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE MICHOMA President 763-245-8682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 347631) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |