Organization
AMERICAN BAPTIST HOMES OF THE MIDWEST
Active
Other names
Park Crest Baptist Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH A KOTCHER (DIRECTOR OF REIMBURSEMENT)
(952) 253-1485
Entity
Organization
Contact information
Practice address
512 49TH AVE N, MINNEAPOLIS, MN 55430-3621
(612) 529-7747
(612) 529-5643
Mailing address
512 49TH AVE N, MINNEAPOLIS, MN 55430-3621
(612) 529-7747
(612) 529-5643
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
MN
Other
Enumeration date
10/06/2005
Last updated
08/22/2020
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