| NPI | 1184869778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALIE J PERPICH Owner 651-351-0890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MN D11196) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |