CMS Certification Number (CCN): 285226
Address: 1405 HERITAGE DRIVE, ST PAUL, NE, 68873
Telephone: 3087545486
Ownership Type: Non profit - Corporation
Number of Certified Beds: 70
Average Number of Residents per Day: 57.4
Provider Type: nan
Overall Rating: Yes
Most Recent Health Inspection: N
Legal Business Name: N
Date First Approved: VSL ST PAUL LLC
Affiliated Entity: 1998-03-01
CMS State Operations Manual: Link
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