NPI | 1134123532 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROL EHLINGER Administrator, CEO 507-205-6208 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 328422) |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
Enumeration Date | 2005-06-13 |
Last Update Date | 2024-05-13 |