State of Minnesota-Minnesota Management and Budget

NPI #1952742256 in Silver Bay, Minnesota

Provider Information

NPI Number
1952742256
Entity Type
Organization
Organization Name
State of Minnesota-Minnesota Management and Budget
Subpart
Yes (part of a larger organization)
Parent Organization
STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 15, 2013
Last Updated
Mar 19, 2019

Practice Location

Address
56 OUTER DR
ZIP Code
55614-1133
Phone
(218) 226-6300

Authorized Official

Name
MARY ELIZABETH JOHNSON
Title
CENTRAL PHARMACY, PHARMACIST SENIOR
Phone
(612) 548-5962

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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