NPI | 1396727004 |
---|---|
Entity Type | Organization |
Authorized Contact | ELOISE GUTZKE Administrator, CEO 701-947-2944 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ND 1043A) |
Additional Taxonomies | 310400000X Assisted Living Facility |
311500000X Alzheimer Center (Dementia Center) | |
311ZA0620X Custodial Care Facility, Adult Care Home | |
Enumeration Date | 2005-11-17 |
Last Update Date | 2010-01-05 |