| NPI | 1437540242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEL MELCHIZEDDEK Co Ownner 763-269-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 811486300028) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |