Organization
CITY OF LAKES CARE CENTER
Active
Other names
Benedictine Health Center of Minneapolis
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER MOMANYI LNHA (ADMINISTRATOR / CEO)
(612) 879-2800
Entity
Organization
Contact information
Practice address
618 E 17TH ST, MINNEAPOLIS, MN 55404-1506
(612) 879-2811
(612) 879-2917
Mailing address
618 E 17TH ST, MINNEAPOLIS, MN 55404-1506
(612) 879-2811
(612) 879-2917
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
327352
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19667740
—
MN
Enumeration date
06/21/2005
Last updated
02/20/2025
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