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Organization

LILYDALE SENIOR LIVING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LANCE E LEMIEUX (PRESIDENT)
(651) 454-4801
Entity
Organization

Contact information

Practice address
949 SIBLEY MEMORIAL HWY, SAINT PAUL, MN 55118-3601
(651) 454-6853
Mailing address
2285 WATERS DR, MENDOTA HEIGHTS, MN 55120-1363
(651) 454-4801

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
09/11/2012
Last updated
09/11/2012
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