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 |