| NPI | 1578557484 |
|---|---|
| Doing Business As | STATE OF MINNESOTA |
| Entity Type | Organization |
| Authorized Contact | LARRY SCHUTTE Site Manager 218-547-8303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: 328637) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2007-12-06 |