State of Minnesota-Minnesota Management and Budget

NPI #1568735090 in Luverne, Minnesota

Provider Information

NPI Number
1568735090
Entity Type
Organization
Organization Name
State of Minnesota-Minnesota Management and Budget
Subpart
Yes (part of a larger organization)
Parent Organization
MINNESOTA MANAGEMENT AND BUDGET
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 14, 2012
Last Updated
Mar 1, 2022

Practice Location

Address
1300 N KNISS AVE
ZIP Code
56156-1006
Phone
(507) 283-6200

Authorized Official

Name
MARY ELIZABETH JOHNSON
Title
AUTHORIZED OFFICIAL
Phone
(612) 317-3198

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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