| NPI | 1477544054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY KLEWIN Reimbursement Specialist 701-523-3214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: ND 8071A) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2007-10-10 |