| 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 |