| NPI | 1821340712 |
|---|---|
| Doing Business As | DBA PRO REHAB |
| Entity Type | Organization |
| Authorized Contact | JEFF J DAGEN President 952-955-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ND 1475) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2012-10-03 |