| NPI | 1992354666 |
|---|---|
| Doing Business As | PRAIRIE GATE |
| Entity Type | Organization |
| Authorized Contact | MARK T MEYER CFO 651-631-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |