License number: 21104
License type: CHURCH RELATED
Administrator: MR. JEFFRY STAMPOHAR
Capacity:
Type:
Type of Services:
License Holder Lives on site:
Licensing Authority:
County: LAKE OF THE WOODS
SNF Beds: 36
Hosp: 0
Bass: 0
PSY: 0
NH: 36
CAH:
SWING:
SNFNF: 36
REHAB: