| NPI | 1962733493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE ANN VONDERHARR VP/Treasurer/Secretary 320-759-2153 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN HFID-23562 F) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |