| NPI | 1740270875 | 
|---|---|
| Doing Business As | COUNTRY MANOR HEALTH AND REHAB CENTER | 
| Entity Type | Organization | 
| Authorized Contact | BRIAN KELM Administrator 320-253-1920  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 330056)  | 
| Enumeration Date | 2005-10-28 | 
| Last Update Date | 2013-02-25 |