| 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 |