| NPI | 1841715612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN SKEIM Administrator 218-745-5282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 17363) |
| Enumeration Date | 2017-08-13 |
| Last Update Date | 2022-12-29 |