NPI | 1114383577 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN DYBWAD VP Of Finance 701-757-5422 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: ID RC1104) |
Enumeration Date | 2016-01-14 |
Last Update Date | 2022-08-19 |