| NPI | 1396167953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DALE WHETTER VP Of Finance/Budget 701-757-5465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 29791) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MN 29941) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |