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Organization
CRYSTAL SEASONS ALF LLC
Active
Organization
CRYSTAL SEASONS ALF LLC
Active
Other names
Crystal Seasons Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH LEGUM (MANAGER)
(516) 410-5209
Entity
Organization
Contact information
Practice address
222 S MURPHY ST, LAKE CRYSTAL, MN 56055-2128
(516) 410-5209
Mailing address
4044 GREENWOOD ST, SKOKIE, IL 60076-1942
(516) 410-5209
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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