| NPI | 1669687794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PATRICIA RODENBERG-ROBERTS VP& Sr. Asst General Counsel 952-836-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 251C00000X (Licence: LA 340) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2023-11-20 |