| NPI | 1326049248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BRAATEN Business Manager 701-256-2987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ND 1036A) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2022-01-13 |