| NPI | 1518705367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBBINSON OKEYO OMOSA CEO 952-217-9053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 251E00000X Home Health |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-07-17 |