| NPI | 1891789434 |
|---|---|
| Doing Business As | BERKSHIRE RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | TONY PASELL Com PT Roller 952-259-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MN 328130) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2020-08-22 |