| NPI | 1720131931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT WILKENING Billing 701-738-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MT 10858) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |