| NPI | 1699787671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN STARKOVICH CEO 612-827-8517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MN 329985) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2019-11-08 |