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 |