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 |