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Organization
KTJ 212, LLC
Active
Organization
KTJ 212, LLC
Active
Other names
Shorewood Landing Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MISKULIN (EXECUTIVE DIRECTOR)
(952) 401-7444
Entity
Organization
Contact information
Practice address
6000 CHASKA RD, EXCELSIOR, MN 55331-3173
(952) 401-7444
Mailing address
6000 CHASKA RD, EXCELSIOR, MN 55331-3173
(952) 401-7444
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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