| NPI | 1295087864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYA LYNN NINNEMANN Certified Occupational Therapy Assi 651-484-3378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 201729) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |