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 |