| NPI | 1720246879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT WILKENING Accounts Receivable 701-738-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances (Licence: MT 11325) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |