| NPI | 1497755185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT ULRICH Administrator 701-786-3401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ND 1039A) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: ND 027) |
| 310400000X Assisted Living Facility (Licence: ND AL23) | |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2007-10-11 |