| NPI | 1700155736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA LEE TAYLOR Owner, RN 218-283-2806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 354470) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |