Organization · Type 2 NPI

Extendicare Homes, Inc.

Skilled Nursing Facility · St. Louis Park, MN

NPI number 1184798712 Active

Practice location

4415 W 36 1/2 St
St. Louis Park, MN 55416-4854

Call (952) 927-9717 Map

Fax (952) 927-7687

Mailing address

111 W Michigan St
Milwaukee, WI 53203-2903

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1184798712

Extendicare Homes, Inc.'s National Provider Identifier is 1184798712, issued on Nov 17, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in St. Louis Park, MN. The record was last updated on Mar 30, 2008.