| NPI | 1770738585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRA MAGANA President 763-544-2395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN R 1801049788) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |