| NPI | 1609202712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA KRAMER Director Of Utilization Review 701-317-0892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SD 40458) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |