| NPI | 1023066867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEELOCHANI STADTHERR Director Of Reimbursement 952-855-5041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 328430) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2019-10-21 |