Organization
PRAIRIE BLUFFS REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA LEGUM (CEO)
(507) 203-1001
Entity
Organization
Contact information
Practice address
10300 HENNEPIN TOWN RD, EDEN PRAIRIE, MN 55347-5100
(507) 203-1001
Mailing address
2361 NOSTRAND AVE STE 903, BROOKLYN, NY 11210-3953
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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