| NPI | 1083959027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY DOREEN MATLOCK Director Of Nursing/Administrator 320-468-2788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: MN 360112) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2018-06-21 |