| NPI | 1346184348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PATRICIA RODENBERG-ROBERTS Chief Regulatory Officer Sr Asst Gc 952-836-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| Enumeration Date | 2026-04-18 |
| Last Update Date | 2026-07-21 |