| NPI | 1861672198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER MARIGI ONGOU Administrator 763-438-0345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MN 338078) |
| Enumeration Date | 2007-11-03 |
| Last Update Date | 2007-11-05 |