| NPI | 1306830427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT STONER Administrator 701-572-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ND 1058A) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2015-03-04 |