NPI | 1700855657 |
---|---|
Entity Type | Organization |
Authorized Contact | SEELOCHANI STADTHERR Senior Director Of Reimbursement 952-855-5041 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ND 1003A) |
Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: ND 8003A) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2023-04-06 |