NPI | 1154454528 |
---|---|
Entity Type | Organization |
Authorized Contact | ANN NOLAND Administrator 218-547-4515 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN FBL-0017382-19848) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2020-08-22 |