NPI | 1740572312 |
---|---|
Doing Business As | HAVEN MANOR ON SPRINGEN |
Entity Type | Organization |
Authorized Contact | CATHY A BELLMORE Director 218-739-2799 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MN 1060399-1-AFC) |
Enumeration Date | 2011-05-13 |
Last Update Date | 2011-05-13 |