| NPI | 1811293590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK L'HEUREUX Administrator/CEO 320-679-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2012-08-27 |