| NPI | 1043442221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA RAAD Vice President Of Administration 320-360-5595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-12-31 |