Rose of Sharon

NPI #1295087864 in Roseville, Minnesota

Provider Information

NPI Number
1295087864
Entity Type
Organization
Organization Name
Rose of Sharon
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 8, 2012
Last Updated
Oct 8, 2012

Practice Location

Address
1000 LOVELL AVE W
ZIP Code
55113-4459
Phone
(651) 484-3378

Authorized Official

Name
MS. MAYA LYNN NINNEMANN, COTA
Title
CERTIFIED OCCUPATIONAL THERAPY ASSI
Phone
(651) 484-3378

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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