Organization · Type 2 NPI
Community Nurse
Pediatric Skilled Nursing Facility · Elk River, MN
Practice location
18072 Vance Circle
Elk River, MN 55330
Fax (763) 267-7245
Mailing address
18072 Vance Cir NW
Elk River, MN 55330-4712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | None listed |
Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
About NPI 1194139261
Community Nurse's National Provider Identifier is 1194139261, issued on Jun 17, 2014. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Elk River, MN. The record was last updated on Jun 17, 2014.