| NPI | 1083942221 |
|---|---|
| Other Name | LAKEVIEW RANCH DASSEL |
| Entity Type | Organization |
| Authorized Contact | JUDY A BERRY CEO 320-275-4027 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: MN 342097) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2009-11-30 |