| NPI | 1790997260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HILGERT CEO 320-963-7571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: MN 21604) |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2018-05-14 |