Organization
MALA STRANA ALF LLC
Active
Other names
Mala Strana Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA LEGUM (MANAGER)
(516) 410-5209
Entity
Organization
Contact information
Practice address
999 COLUMBUS AVE N, NEW PRAGUE, MN 56071-2092
(952) 758-2511
Mailing address
999 COLUMBUS AVE N, NEW PRAGUE, MN 56071-2092
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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