| NPI | 1568456234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE A. WEISS Administrator 651-260-5435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 327171) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2019-04-16 |