| NPI | 1649333923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB WILLIAM REDEPENNING CFO 320-289-8514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2023-05-31 |