| NPI | 1124019690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ZEMAN Controller 612-379-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2023-02-08 |