| NPI | 1114914140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS GOEBEL Administrator 701-523-3214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ND 1007B) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2011-12-06 |