| NPI | 1255496188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L. BREUER CEO 218-878-7621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: MN 331457) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-09-04 |