NPI | 1336135524 |
---|---|
Entity Type | Organization |
Authorized Contact | TRICIA L BERGIEN Director, Reimbursement 612-991-6519 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 324150) |
Enumeration Date | 2005-09-22 |
Last Update Date | 2019-03-11 |