NPI 1619236767
Saint Therese of Oxbow Lake, LLC
Practice location
- Address
- 9751 Regent Ave. No., Brooklyn Park, MN 55443
- Phone
- (763) 493-7007
Authorised official
- Name
- Cal M Shelangoski
- Title
- Cfo
- Phone
- (952) 283-2204
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1619236767
- Entity type
- Organization
- NPI issued
- 10 May 2012
- Record last updated
- 22 Nov 2021
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.