NPI | 1801899703 |
---|---|
Doing Business As | PARK RIVER ESTATES CARE CENTER |
Entity Type | Organization |
Authorized Contact | THOMAS DALE POLLOCK Administrator 763-757-2320 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 324795) |
Enumeration Date | 2005-05-24 |
Last Update Date | 2008-07-14 |