| NPI | 1932588621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REX CARLSON CFO 701-757-5465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: ND 8058) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: ND 33569) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-05-27 |