| NPI | 1831192053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK A BLUM Administrator 507-282-9449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 00916) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-08-22 |