| NPI | 1932252376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN M WAGNER Accounts Receivable Clerk 701-738-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: ND 8057A) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: ND 1) |
| 310400000X Assisted Living Facility (Licence: ND 15) | |
| 311500000X Alzheimer Center (Dementia Center) (Licence: ND 8058A) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2025-09-11 |