| NPI | 1801932421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG NEISES C RN A 605-534-3862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MN R148128-8) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-06-13 |