| NPI | 1144698184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEELOCHANI STADTHERR Director Of Reimbursement 952-855-5041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2021-06-23 |