NPI | 1962676577 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID R KERN Administrator/CEO 218-727-8831 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 336321) |
Enumeration Date | 2008-04-15 |
Last Update Date | 2008-04-15 |