| NPI | 1154580793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE' JUSTINA LINDBERG RN/Owner 218-727-7473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MN 1050353-1-FADS) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |