NPI | 1487995791 |
---|---|
Entity Type | Organization |
Authorized Contact | RUSSELL EDWAED HENDRICKSON Owner 218-564-4268 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
311500000X Alzheimer Center (Dementia Center) | |
315D00000X Hospice, Inpatient | |
Enumeration Date | 2013-03-12 |
Last Update Date | 2013-03-12 |