Organization
LEGACY SENIOR CARE LLC
Active
Other names
Legacy Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN LEMAR BURWELL JR. (OWNER)
(612) 263-0555
Entity
Organization
Contact information
Practice address
12591 SHANNON PKWY, ROSEMOUNT, MN 55068-3696
(612) 263-0555
Mailing address
10057 SUNBIRD CIR, WOODBURY, MN 55129-7601
(612) 263-0555
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/16/2025
Last updated
08/26/2025
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