American Baptist Homes Of The Midwest
Skilled Nursing Facility in Minneapolis, MN. Organization (NPI-2).
NPI number1477541282
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1477541282
- Entity type
- Organization (NPI-2)
- Legal business name
- American Baptist Homes Of The Midwest
- Organization subpart
- No
- Enumeration date
- Oct 6, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | MN | Yes |
Other names
- Park Crest Baptist Care Center (Doing Business As)
Practice location
512 49th Ave NMinneapolis, MN 55430-3621
Phone 612-529-7747 · Fax 612-529-5643
Mailing address
512 49th Ave NMinneapolis, MN 55430-3621
Phone 612-529-7747 · Fax 612-529-5643
Authorized official
Deborah A Kotcher
Director Of Reimbursement
9522531485
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