| NPI | 1144319526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONITA MARIE NIENABER Owner 320-759-6599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MN 10183963afc) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-08-07 |