| NPI | 1134123532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL EHLINGER Administrator, CEO 507-205-6208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 328422) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2024-05-13 |