Hillcrest of Wayzatta Operations LLC

NPI #1558806810 in Wayzata, Minnesota

Provider Information

NPI Number
1558806810
Entity Type
Organization
Organization Name
Hillcrest of Wayzatta Operations LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Dec 22, 2016
Last Updated
Dec 22, 2016

Practice Location

Address
15409 WAYZATA BLVD
ZIP Code
55391-1402
Phone
(952) 473-5466

Authorized Official

Name
MR. EPHRAM LAHASKY
Title
PRESIDENT
Phone
(646) 772-3668

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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