NPI 1699700369 · live from the CMS NPI Registry
Courage Residence
Skilled Nursing Facility in Golden Valley, MN. National Provider Identifier 1699700369, active.
NPI record
| NPI | 1699700369 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 3915 Golden Valley Rd, Golden Valley, MN 55422 |
| Practice phone | 763-520-0811 |
| Enumerated | July 11, 2006 |
| Last updated | December 21, 2007 |
| Authorized official | Alice Johnson, Cfo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.