Organization
THE BEACON AT LAKE CRYSTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA LEGUM (CEO)
(507) 625-8741
Entity
Organization
Contact information
Practice address
511 W BLUE EARTH ST, LAKE CRYSTAL, MN 56055-9401
(507) 726-6537
Mailing address
638 SOUTHBEND AVE, MANKATO, MN 56001-2168
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/11/2016
Last updated
09/11/2016
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