| 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 |