| NPI | 1487705653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE E STUBSON CFO 218-291-2216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 00072) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MN 332819) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2020-08-22 |