Organization
VILLAS AT ST. LOUIS PARK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH LEGUM (PRESIDENT)
(507) 203-1001
Entity
Organization
Contact information
Practice address
7500 W 22ND ST, ST LOUIS PARK, MN 55426-2602
(952) 641-9200
Mailing address
2361 NOSTRAND AVE STE 903, BROOKLYN, NY 11210-3953
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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