| NPI | 1205174968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALYA NEKTALOV Occupational Therapist/L 218-625-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 104229) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2013-01-30 |