| NPI | 1093015265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA LANE KOCH Health Service Coordinator 701-766-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: ND R34550) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |