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Organization

ECUMEN

Active
Other names
Lakeview Commons
Organization subpart
No

Provider details

NPI number
Authorized official
KATHRYN R ROBERTS (CEO)
(651) 766-4300
Entity
Organization

Contact information

Practice address
1200 LAKEWOOD DR N, MAPLEWOOD, MN 55119-7601
(651) 770-1111
Mailing address
3530 LEXINGTON AVE N, SHOREVIEW, MN 55126-8164
(651) 766-4300

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
331964
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
504158900
MN
Enumeration date
05/09/2007
Last updated
08/22/2020
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