| NPI | 1245678341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH NELSON Administrator 701-496-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: ND 8096) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2014-04-30 |