Organization
FMG COUNTRY CLUB DRIVE MINNESOTA LLC
Active
Other names
Golden Valley Rehabilitation and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEATING (AUTHORIZED OFFICIAL)
(414) 908-8058
Entity
Organization
Contact information
Practice address
7505 COUNTRY CLUB DR, GOLDEN VALLEY, MN 55427-4501
(763) 450-6900
(763) 545-2016
Mailing address
7505 COUNTRY CLUB DR, GOLDEN VALLEY, MN 55427-4501
(763) 450-6900
(763) 545-2016
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/18/2014
Last updated
12/23/2014
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