| NPI | 1548291404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE EHRENBERG Administrator 320-669-7561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 331614) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2022-10-04 |