| NPI | 1598230898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE TOLLEFSON Owner 218-296-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |