| NPI | 1821077025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN LUNNEBORG Accounting Manager 701-683-6503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ND 1093A) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2020-08-22 |