| NPI | 1013979319 |
|---|---|
| Doing Business As | ST MARY'S HOME |
| Entity Type | Organization |
| Authorized Contact | JOSEPH ALEN STANISLAV CEO 651-696-8401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 330521) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2020-08-22 |