| NPI | 1790785194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA PAUL DAHLQUIST Administrator 507-962-3275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MN 328220) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2020-08-22 |