| NPI | 1255444006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MEYER CFO 651-631-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MN 480958) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2019-01-02 |