Organization
THE LEGACY OF ST MICHAEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWIE GROFF (PRESIDENT)
(952) 888-2923
Entity
Organization
Contact information
Practice address
4400 LANGE AVE NE, SAINT MICHAEL, MN 55376-9528
(763) 367-0970
Mailing address
4400 LANGE AVE NE, SAINT MICHAEL, MN 55376-9528
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MN
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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