| NPI | 1053307793 |
|---|---|
| Doing Business As | LB BROEN HOME |
| Entity Type | Organization |
| Authorized Contact | LELAND R ROGESS Board Chairman 218-998-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 330241) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2017-06-02 |