Organization
ECUMEN
Active
Other names
Wild of Sand Prairie
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN R ROBERTS (CEO)
(651) 766-4300
Entity
Organization
Contact information
Practice address
700 KNIGHT ST, SAINT PETER, MN 56082-1739
(507) 934-2200
Mailing address
3530 LEXINGTON AVE N, SHOREVIEW, MN 55126-8166
(651) 766-4300
(651) 766-4479
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MN
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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