| NPI | 1891755849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE TOMAINO Business Office Manager 218-723-6430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 329925) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2023-04-28 |