| NPI | 1326377979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RUST Administrator 320-833-5364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 346725) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2009-12-10 |