Organization
LEGACY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE NASH (OWNER/EXECUTIVE DIRECT)
(612) 597-3153
Entity
Organization
Contact information
Practice address
14900 CROWN DR, MINNETONKA, MN 55345-3603
(612) 597-3153
Mailing address
14900 CROWN DR, MINNETONKA, MN 55345-3603
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
CLASS F
MN
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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