| NPI | 1033107412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY A ROY Administrator CEO 651-793-3241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 326973) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2020-08-22 |