| NPI | 1134121817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ROGERS Administrator 320-839-2502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: MN 350419) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2018-09-26 |