| NPI | 1083601843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DALE RUSTAD Treasurer/ Administrator 507-266-7862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 327208) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2023-03-23 |