| NPI | 1538155809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYNA MARIE GROEBNER Administrator 507-794-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MN 328233) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2012-01-12 |