NPI | 1831495514 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES LAINE Administrator/CEO 320-354-2231 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Additional Taxonomies | 310400000X Assisted Living Facility |
Enumeration Date | 2011-01-28 |
Last Update Date | 2011-01-28 |