| NPI | 1699953547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE E MARSHALL President 218-340-7542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2008-02-02 |
| Last Update Date | 2008-06-19 |