NPI | 1609011170 |
---|---|
Entity Type | Organization |
Authorized Contact | KENETH NUBIA Administrator 612-309-8391 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MN 340276) |
Enumeration Date | 2008-12-11 |
Last Update Date | 2008-12-11 |