NPI 1023182565
Extendicare Homes, INC.
Practice location
- Address
- 3130 Grimes Ave N, Robbinsdale, MN 55422-3217
- Phone
- (763) 588-0771
- Fax
- (763) 588-8252
- Mailing address
- 111 W Michigan St, Milwaukee, WI 53203-2903
Authorised official
- Name
- Donna Jo Maassen
- Title
- Director of Compliance
- Phone
- (414) 908-8119
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1023182565
- Entity type
- Organization
- NPI issued
- 17 Nov 2006
- Record last updated
- 30 Mar 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.