| NPI | 1619964004 |
|---|---|
| Doing Business As | LYNNHAVEN NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | DIANE M RYAN Owner's Representative 952-837-0818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 113020) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2020-08-22 |