| NPI | 1699779009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON JUNKER Administrator 320-528-2527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 327710) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2022-08-19 |