| NPI | 1225457864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS KJORVEN Administrative Assistant 701-587-6434 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: ND 8090) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ND 5040) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-06-05 |