| NPI | 1265433767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN HILLIGAN Administrator 952-898-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 328249) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2013-02-25 |