| NPI | 1710970942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY ROBERT MOLGARD Administrator 507-332-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 329250) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MN 329214) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2009-01-28 |