SO
STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
MONTEVIDEO, MN
Licensed since
2023
Rate
—
Federal identifiers
NPI registry number1407562309
Agency details
Parent orgSTATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameSIMONE HOGAN
TitleMDVA CHIEF OPERATIONS DIRECTOR
Phone3203010429
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Source: NPI Registry · Last refreshed June 24, 2026