NPI | 1144218769 |
---|---|
Entity Type | Organization |
Authorized Contact | JANESSA VOGEL Administrator 701-843-7526 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ND 1086A) |
Enumeration Date | 2005-10-07 |
Last Update Date | 2015-04-23 |