| NPI | 1184768277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN HINDERKS Director Of Revenue Cycle 320-231-4425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: MN 331093) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2013-07-17 |