Extendicare Homes, Inc.

NPI #1881768323 in Roseville, Minnesota

Provider Information

NPI Number
1881768323
Entity Type
Organization
Organization Name
Extendicare Homes, Inc.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Nov 17, 2006
Last Updated
Mar 30, 2008

Practice Location

Address
1000 LOVELL AVE W
ZIP Code
55113-4419
Phone
(651) 484-3378

Authorized Official

Name
DONNA JO MAASSEN
Title
DIRECTOR OF COMPLIANCE
Phone
(414) 908-8119

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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