| NPI | 1497995203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE MOGUSERO MORANDE Director 952-472-4635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MN 25296) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2009-03-06 |