| NPI | 1275944936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATIENCE CHIZOBA OKAFOR Administrator 763-222-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: MN 366358) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |