NPI | 1588697742 |
---|---|
Doing Business As | SHEPHERD OF THE VALLEY HEALTHCARE CENTER |
Entity Type | Organization |
Authorized Contact | THOMAS E BOERBOOM Chief Operating Officer 952-873-7907 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WY 10216) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2012-05-08 |