NPI | 1366595597 |
---|---|
Entity Type | Organization |
Authorized Contact | BRETT WILKENING Billing 701-738-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MT 10029) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2020-08-22 |