| NPI | 1992869770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE D BOWERSOX Administrator 701-322-4328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ND 1040B) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2014-05-07 |