| NPI | 1609135003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA BERGIEN Director, Reimbursement And Payment 612-991-6519 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2019-03-11 |