| NPI | 1386665826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY L LARSON CFO 701-968-2560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2013-03-15 |