Organization
WATERVIEW SHORES ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH LEGUM (CEO)
(507) 203-1001
Entity
Organization
Contact information
Practice address
409 13TH AVE, TWO HARBORS, MN 55616-1252
(218) 834-0849
Mailing address
8833 GROSS POINT RD STE 208, SKOKIE, IL 60077-1859
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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