| NPI | 1306243647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON WHETTER VP Finance/Budget 218-230-5953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: ND AL68) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: ND 88) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |