Organization
ECUMEN
Active
Other names
Pathstone Crossing
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS JOHNSON (VICE PRESIDENT)
(651) 766-4300
Entity
Organization
Contact information
Practice address
708 MOUND AVE, MANKATO, MN 56001-1645
(507) 345-4576
(507) 385-4212
Mailing address
3530 LEXINGTON AVE N, SHOREVIEW, MN 55126-8166
(651) 766-4300
(651) 766-4479
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
358412
MN
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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