| NPI | 1427266550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE M. KASTENHOLZ Regional Director Of Therapy 612-747-0119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WI 3086-026) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |