Organization
PRAIRIE BLUFFS TCU, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS KREBSBACH LNHA (COO)
(612) 202-4553
Entity
Organization
Contact information
Practice address
10300 HENNEPIN TOWN RD, EDEN PRAIRIE, MN 55347-5100
(952) 444-5000
(952) 204-3024
Mailing address
10300 HENNEPIN TOWN ROAD, EDEN PRAIRIE, MN 55347
(952) 444-5000
(952) 204-3024
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409168
—
MN
Enumeration date
08/04/2020
Last updated
11/04/2022
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