| NPI | 1043470362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN BIENEK Administrator/CEO 218-784-5250 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2021-02-25 |