| NPI | 1194021600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA GAMALDI CEO/Administrator 320-485-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-01-31 |