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 |