| NPI | 1275529927 |
|---|---|
| Doing Business As | PELICAN LAKE HEALTH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | CORAL BLAZE CEO/CFO 952-435-7371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 00156) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2020-08-22 |