| NPI | 1184722969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETE ANTONSON Administrator 701-587-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ND 1045A) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-11-01 |