| NPI | 1265436653 |
|---|---|
| Doing Business As | LEWISTON VILLA NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | BOB LIEBIG Partner 651-483-2586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 328692) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2020-08-22 |