NPI | 1619080462 |
---|---|
Doing Business As | MILL POND |
Entity Type | Organization |
Authorized Contact | MARK T MEYERS CFO 651-631-6120 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 770477) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2015-10-06 |