NPI | 1730248238 |
---|---|
Entity Type | Organization |
Authorized Contact | OWEN H LARSON President CEO 701-852-1014 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
Enumeration Date | 2006-12-08 |
Last Update Date | 2020-08-22 |