| NPI | 1982600482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RICHARD KAREL Administrator 651-632-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MN 328690) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2020-08-22 |