| NPI | 1992862650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D PATOCK CEO 320-765-8841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN HFID - 21247) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |