| NPI | 1689349987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A. WEICHERT Authorized Official; Owner 952-361-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2024-08-15 |