| NPI | 1861458622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE THEEDE Med. Records 701-242-7891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ND 1028A) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2013-08-29 |