| NPI | 1194745992 | 
|---|---|
| Other Name | PATHSTONE LIVING | 
| Entity Type | Organization | 
| Authorized Contact | LORETTA M LEWIS Sr. Credentialing Specialist 651-766-4375  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 331131)  | 
| Enumeration Date | 2006-07-21 | 
| Last Update Date | 2024-05-07 |