| NPI | 1154670347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ROHECECERE Physical Therapist Assistant 651-426-9310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN A1159) |
| Enumeration Date | 2012-09-03 |
| Last Update Date | 2012-09-03 |