Fmg First Avenue Northwest Minnesota LLC
NPI #1548658602 in New Brighton, Minnesota
Provider Information
- NPI Number
- 1548658602
- Entity Type
- Organization
- Organization Name
- Fmg First Avenue Northwest Minnesota LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 24, 2014
- Last Updated
- Dec 24, 2014
Practice Location
- Address
- 825 1ST AVE NW
- City
- New Brighton
- State
- Minnesota
- ZIP Code
- 55112-6846
- Phone
- (651) 633-7875
Authorized Official
- Name
- DAVID KEATING
- Title
- AUTHORIZED OFFICIAL
- Phone
- (414) 908-8058
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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