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NPI Code Detail

MEDICARE: ROBBINSDALE REHAB AND CARE CTR

MEDICARE: ROBBINSDALE REHAB AND CARE CTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1134357569
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBBINSDALE REHAB AND CARE CTR
Provider Business Mailing Address
First Line : 3130 GRIMES AVE N
Second Line :
City : ROBBINSDALE
State : MN
Zip : 55422-3217
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3130 GRIMES AVENUE NORTH
Second Line :
City : ROBBINSDALE
State : MN
Zip : 55422
Country : US
Telephone Number : 736-450-2737
Fax Number :
Authorized Official
Title or Position : REGIONAL DIR OF REHAB
Name : LISABETH MACKALL
Credential :
Telephone Number : 612-437-0213
Provider Enumeration Date : 06/24/2009
Last Update Date : 06/24/2009

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Directions to “ROBBINSDALE REHAB AND CARE CTR ” Practice Location

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