Organization
HIGHLAND CHATEAU SUITES, LLC
Active
Other names
Highland Chateau Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER ROGOTZKE (PRESIDENT)
(763) 537-5700
Entity
Organization
Contact information
Practice address
2319 7TH ST W, SAINT PAUL, MN 55116-2813
(651) 690-8233
(651) 690-8232
Mailing address
12900 WHITEWATER DR STE 201, HOPKINS, MN 55343-9407
(763) 537-5700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
331933
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110115300
—
MN
01
—
5J10HI
BLUE CROSS BLUE SHIELD
MN
01
—
NH0073
UCARE
MN
Enumeration date
07/18/2006
Last updated
04/09/2020
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