| NPI | 1588807572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON MATTHEW EWALD Business Manager 320-587-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN FBL-6056-4162) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |