| NPI | 1679577118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H BARKER President/Administrator 651-632-3503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 328423) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2020-08-22 |