| NPI | 1326445388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ANN MCGARRY Administrator 218-652-6702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MN 1075244) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: MN 1075464-1HCBS) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |