Episcopal Homes On University Avenue, LLC
Skilled Nursing Facility in Saint Paul, MN. Organization (NPI-2).
NPI number1104236512
StatusActive
Last updated in NPPESMay 7, 2014
Details
- NPI
- 1104236512
- Entity type
- Organization (NPI-2)
- Legal business name
- Episcopal Homes On University Avenue, LLC
- Organization subpart
- Yes
- Enumeration date
- May 7, 2014
- Last updated
- May 7, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Episcopal Church Home The Gardens (Doing Business As)
Practice location
1860 University Ave WSaint Paul, MN 55104-3402
Phone 651-632-8812
Mailing address
1860 University Ave WSaint Paul, MN 55104-3402
Authorized official
Mike Karel
Coo
6516328812
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