| NPI | 1083620199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE O URVAND Administrator 701-965-6384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ND 5011A) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |