NPI | 1922092493 |
---|---|
Doing Business As | PRAIRIE VIEW HEALTHCARE COMMUNITY |
Entity Type | Organization |
Authorized Contact | THOMAS BOERBOOM President 952-873-7977 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD 10714) |
Enumeration Date | 2005-09-09 |
Last Update Date | 2017-02-17 |