Extendicare Homes, Inc.
NPI #1184798712 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1184798712
- Entity Type
- Organization
- Organization Name
- Extendicare Homes, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 17, 2006
- Last Updated
- Mar 30, 2008
Practice Location
- Address
- 4415 W 36 1/2 ST
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416-4854
- Phone
- (952) 927-9717
Authorized Official
- Name
- DONNA JO MAASSEN
- Title
- DIRECTOR OF COMPLIANCE
- Phone
- (414) 908-8119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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