Whalio Doctors

NPI 1538140496

Faulkner and Reynolds Enterprises, INC

Organisation Nursing Facility/Intermediate Care Facility St. Paul, MN

Practice location

Address
1620 Randolph Ave, St. Paul, MN 55105
Phone
(651) 690-4458
Fax
(651) 690-2787

Authorised official

Name
Laura Reynolds
Title
Administrator/Owner
Phone
(651) 690-4458

Registered specialties (2)

Nursing Facility/Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 360749 (MN)
Nursing Facility/Intermediate Care Facility
Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 327672 (MN)

Registry record

NPI
1538140496
Entity type
Organization
NPI issued
8 Nov 2005
Record last updated
12 Feb 2013

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.