| NPI | 1851599021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY SUE RICHTER Accountant 612-431-7932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 328868) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2022-12-27 |