Martin Luther Manor
NPI #1750301578 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1750301578
- Entity Type
- Organization
- Organization Name
- Martin Luther Manor
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 21, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1401 E 100TH ST
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55425-2615
- Phone
- (952) 888-7751
Authorized Official
- Name
- MR. DENNIS R JOHNSON
- Title
- CFO
- Phone
- (651) 766-4300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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