Organization
FMG FIRST AVENUE NORTHWEST MINNESOTA LLC
Active
Other names
Health and Rehabilitation of New Brighton
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEATING (AUTHORIZED OFFICIAL)
(414) 908-8058
Entity
Organization
Contact information
Practice address
825 1ST AVE NW, NEW BRIGHTON, MN 55112-6846
(651) 633-7875
(651) 628-9335
Mailing address
825 1ST AVE NW, NEW BRIGHTON, MN 55112-6846
(651) 633-7875
(651) 628-9335
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/24/2014
Last updated
12/24/2014
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