| NPI | 1346645215 |
|---|---|
| Former Legal Business Name | LAKEVIEW RANCH - DASSEL |
| Entity Type | Organization |
| Authorized Contact | MICHELLE OLSON Administrator 320-275-4611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |