| NPI | 1417297888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORAL M FLEMING Administrator/Lpn 701-496-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2013-02-22 |