| NPI | 1235461146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM WENTZ Exec. V. Pres/COO 701-837-7103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WY 10221) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-02-02 |