| NPI | 1568105989 |
|---|---|
| Doing Business As | TABITHA AT PRAIRIE COMMONS |
| Entity Type | Organization |
| Authorized Contact | DARIN OHE CFO 218-291-2216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2024-11-20 |