| NPI | 1699927897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODGER WETZEL Executive Director 701-751-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization (Licence: H7195) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |