| NPI | 1548313992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN M WAGNER Accounts Receivable Clerk 701-738-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SD 49736) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: SD 11073) |
| 311500000X Alzheimer Center (Dementia Center) (Licence: SD 49736) | |
| 311500000X Alzheimer Center (Dementia Center) (Licence: SD 11073) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |