| NPI | 1720036262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA LYNN DEBEVEC Administrator 218-666-5945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: MN 331536) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2019-02-27 |