NPI | 1366457061 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW GARY ASKIM President 701-235-1393 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD SD#1176) |
Enumeration Date | 2006-07-30 |
Last Update Date | 2010-03-29 |