| NPI | 1538169024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A NELSON Administrator 320-274-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 20856) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MN 00951) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2025-09-11 |