| NPI | 1366623977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD JAMES NELSON Owner 218-254-4756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 338097) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-26 |