Organization
CRESTVIEW RESIDENCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH LEGUM (PRESIDENT)
(507) 203-1000
Entity
Organization
Contact information
Practice address
4444 RESERVOIR BLVD, MINNEAPOLIS, MN 55421-3255
(763) 782-1611
Mailing address
1345 CORPORATE CENTER CURV, EAGAN, MN 55121-1295
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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