| NPI | 1619976974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A ANDERSON Controller 612-821-3185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MN 328408) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-08-22 |