| NPI | 1467456822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON B MATALAMAKI Administrator 218-927-2164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 325756) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2017-04-20 |