Organization
LEGACY PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD NORMAN (OWNER)
(320) 492-4677
Entity
Organization
Contact information
Practice address
902 15TH ST NE, SAUK RAPIDS, MN 56379-9605
(320) 259-7988
Mailing address
1120 11TH AVE SE, SAINT CLOUD, MN 56304-1708
(320) 492-4677
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
370371
MN
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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