| NPI | 1750357687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEI SHVETZOFF Director 763-537-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 3089) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2019-11-06 |