Organization
EPISCOPAL CHURCH HOME OF MINNESOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN PLAKUT (CEO)
(651) 632-8851
Entity
Organization
Contact information
Practice address
1879 FERONIA AVE, SAINT PAUL, MN 55104-3549
(651) 646-4061
(651) 632-8806
Mailing address
1879 FERONIA AVE, SAINT PAUL, MN 55104-3549
(651) 646-4061
(651) 632-8806
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
331932
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419042400
—
MN
Enumeration date
01/02/2007
Last updated
08/22/2020
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