| NPI | 1699766733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH T REYCRAFT CFO 218-894-8194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MN 376427) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2025-06-09 |