| NPI | 1669442257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN MATTERN Administrator 701-463-2275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ND 1076A) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2007-10-10 |