| NPI | 1033443858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARLENE KNUTSON Administrator 218-563-2715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 346410) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: MN 346410) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2019-10-15 |