| NPI | 1053318303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARWIN SCHWANTES Administrator 320-251-9120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 325511) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2008-06-18 |