| NPI | 1750535746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA D VINES CEO 612-730-6849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN R 1535134) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |