| NPI | 1932171642 |
|---|---|
| Doing Business As | SMPLTC |
| Entity Type | Organization |
| Authorized Contact | KIMBER L WRAALSTAD CEO 701-477-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ND 1061A) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-08-22 |