| NPI | 1700930567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN M WAGNER Accounts Receivable Clerk 701-738-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: ND 15) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: ND 8057A) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |