| NPI | 1588646277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI DICK Administrator 701-338-2072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ND 1091A) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2020-08-22 |