Phs Maranatha Inc.
NPI #1346245446 in Brooklyn Center, Minnesota
Provider Information
- NPI Number
- 1346245446
- Entity Type
- Organization
- Organization Name
- Phs Maranatha Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 15, 2005
- Last Updated
- Nov 11, 2025
Practice Location
- Address
- 5409 69TH AVE N
- City
- Brooklyn Center
- State
- Minnesota
- ZIP Code
- 55429-1505
- Phone
- (763) 549-9600
Authorized Official
- Name
- MARK MEYER
- Title
- CFO
- Phone
- (651) 631-6102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
| Skilled Nursing Facility |
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