| NPI | 1104165711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE ANN MICHAELSON Certifeid Occupational Therapy Assi 218-729-1656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 200447) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-02-04 |