NPI 1396918918
Five Star Quality Care - Mn, LLC
Practice location
- Address
- 20600 S Diamond Lake Rd, Rogers, MN 55374-4515
- Phone
- (763) 428-1981
- Fax
- (763) 428-3792
- Mailing address
- 400 Centre St, Newton, MA 02458-2094
Authorised official
- Name
- Bruce Mackey
- Title
- Cfo
- Phone
- (617) 796-8387
Registered specialties
Alzheimer Center (Dementia Center)
Primary
Registry record
- NPI
- 1396918918
- Entity type
- Organization
- NPI issued
- 3 Apr 2008
- Record last updated
- 3 Apr 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.