| NPI | 1821378183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY HULSEBUS Administrator 320-257-7445 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 352583) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2017-04-24 |