| NPI | 1881685915 |
|---|---|
| Doing Business As | CERENITY RESIDENCE ON HUMBOLDT |
| Entity Type | Organization |
| Authorized Contact | KRISTA SIDDIQUI Administrator 651-220-1700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 245479) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2021-05-28 |