| NPI | 1285820092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID MONTAG Owner 507-381-1312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 335464) |
| Enumeration Date | 2007-09-15 |
| Last Update Date | 2016-12-02 |