| NPI | 1477660777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI BANKS Administrator 218-365-8044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 355431) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2011-12-08 |