| NPI | 1487929089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A BOOCK Administrator 701-642-4283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: ND 8033A) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-15 |