| NPI | 1912922584 |
|---|---|
| Doing Business As | LOST CREEK CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | NANCY GAVIN Assistant Secretary/Treasurer 952-941-0305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 6106) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-02-05 |