| NPI | 1841388774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA SUSAN BIKKIE Np 763-236-3251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |