| NPI | 1144370610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTINA WAINDIM RN 651-226-0968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MN R 138395-9) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-05-15 |