| NPI | 1609217900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT BUCHANAN Administrator 218-736-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 00531) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2017-10-05 |