| NPI | 1295142784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUE BAUER Administrator/Finance 701-584-3266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: ND 311Z00000X) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |