| NPI | 1578117537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY DEACON Manager 701-936-9680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 385H00000X Respite Care |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-07-29 |