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NPI 1194745992 · live from the CMS NPI Registry

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Skilled Nursing Facility in Mankato, MN. National Provider Identifier 1194745992, active.

NPI record

NPI1194745992 Type 2 · organization
StatusActive
Primary specialtySkilled Nursing Facility 314000000X
Practice location718 Mound Ave, Mankato, MN 56001
Practice phone507-345-4576
Mailing address3530 Lexington Ave N, Shoreview, MN 55126
EnumeratedJuly 21, 2006
Last updatedApril 22, 2026
Authorized officialDouglas Harrison, Cfo
Other namesPathstone Living

Taxonomies and licenses

TaxonomyCodeLicense
Skilled Nursing Facility primary314000000X331131 (MN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.