Saint Therese of Oxbow Lake, LLC
NPI #1619236767 in Brooklyn Park, Minnesota
Provider Information
- NPI Number
- 1619236767
- Entity Type
- Organization
- Organization Name
- Saint Therese of Oxbow Lake, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 10, 2012
- Last Updated
- Nov 22, 2021
Practice Location
- Address
- 9751 REGENT AVE. NO.
- City
- Brooklyn Park
- State
- Minnesota
- ZIP Code
- 55443
- Phone
- (763) 493-7007
Authorized Official
- Name
- CAL M SHELANGOSKI
- Title
- CFO
- Phone
- (952) 283-2204
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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