State of Minnesota - Minnesota Management and Budget
NPI #1407562309 in Montevideo, Minnesota
Provider Information
- NPI Number
- 1407562309
- Entity Type
- Organization
- Organization Name
- State of Minnesota - Minnesota Management and Budget
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 25, 2023
- Last Updated
- Dec 3, 2024
Practice Location
- Address
- 2190 WILLIAM AVENUE
- City
- Montevideo
- State
- Minnesota
- ZIP Code
- 56265-2273
- Phone
- (320) 301-0429
Authorized Official
- Name
- SIMONE RENEE HOGAN
- Title
- MDVA CHIEF OPERATIONS DIRECTOR
- Phone
- (612) 505-4110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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