| NPI | 1629165915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES IVER OPDAHL Administrator 701-584-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ND 1017A) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2013-04-30 |