Organization
SENIOR CARE WOODBURY, LLC
Active
Other names
Woodbury Villa
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY SUE RICHTER (ACCOUNTANT)
(612) 431-7932
Entity
Organization
Contact information
Practice address
7012 LAKE RD, SAINT PAUL, MN 55125-2433
(651) 735-6000
Mailing address
7012 LAKE RD, SAINT PAUL, MN 55125-2433
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
332432
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
696740000
—
MN
01
—
7122682
MEDICA
MN
01
—
8764WO
BCBS
MN
01
—
NH0133
UCARE
MN
Enumeration date
02/23/2007
Last updated
09/02/2025
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