| NPI | 1871700765 |
|---|---|
| Other Name | CROSSROAD LANDING |
| Entity Type | Organization |
| Authorized Contact | DENNIS ERVIN ELLEFSON Vice President 218-499-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MN 1047494-1-AFC) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |