Organization
SAINT THERESE OF OXBOW LAKE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAL M SHELANGOSKI (CFO)
(952) 283-2204
Entity
Organization
Contact information
Practice address
9751 REGENT AVE. NO., BROOKLYN PARK, MN 55443
(763) 493-7007
Mailing address
9751 REGENT AVE. NO., BROOKLYN PARK, MN 55443
(763) 493-7007
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/10/2012
Last updated
11/22/2021
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