NPI | 1285116061 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL BLAIR CFO 320-255-5665 |
Organization Subpart ? | No |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: MN 384656) |
Enumeration Date | 2018-08-29 |
Last Update Date | 2024-09-26 |