| NPI | 1609873652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GOERITZ Administrator 507-938-4151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 328691) |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2017-05-17 |