Organization
PROSTEP REHAB
Active
Parent organization
EXTENDICARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXTENDICARE
Authorized official
MS. MARY KAY MCNAUGHTON (COTA/L)
(952) 920-7866
Entity
Organization
Contact information
Practice address
7900 W 28TH ST, ST LOUIS PARK, MN 55426-3011
(952) 920-7866
(952) 920-8380
Mailing address
7900 W 28TH ST, ST LOUIS PARK, MN 55426-3011
(952) 920-7866
(952) 920-8380
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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