Organization
THE NORTH SHORE ESTATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH LEGUM (MEMBER)
(507) 625-8741
Entity
Organization
Contact information
Practice address
7700 GRAND AVE, DULUTH, MN 55807-2154
(218) 628-2341
Mailing address
638 SOUTHBEND AVE, MANKATO, MN 56001-2168
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/13/2016
Last updated
03/09/2017
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