| NPI | 1093945511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PATRICIA RODENBERG-ROBERTS Chief Regulatory Officer Sr Asst Gc 952-836-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283X00000X Rehabilitation Hospital |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2026-07-21 |