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 |