Organization
PARK LANE ESTATES ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK LANE (OWNER)
(218) 692-6640
Entity
Organization
Contact information
Practice address
111 FILLMORE PL SE, PRESTON, MN 55965-1140
(507) 765-9986
(507) 765-9987
Mailing address
111 FILLMORE PL SE, PRESTON, MN 55965-1140
(507) 765-9986
(507) 765-9987
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5399731
MN
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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