| NPI | 1477541282 |
|---|---|
| Doing Business As | PARK CREST BAPTIST CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | DEBORAH A KOTCHER Director Of Reimbursement 952-253-1485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2020-08-22 |