| NPI | 1629338686 |
|---|---|
| Doing Business As | BROOKSIDE |
| Entity Type | Organization |
| Authorized Contact | MELANIE BURNS Owner, Administrator 218-308-4334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 357493) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |