Organization
LEGACY COMMUNITY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED YUSUF (OWNER/ADMIN)
(612) 806-6357
Entity
Organization
Contact information
Practice address
1022 42 1/2 AVE NE, COLUMBIA HEIGHTS, MN 55421-3159
(763) 444-1893
(763) 331-0644
Mailing address
1022 42 1/2 AVE NE, COLUMBIA HEIGHTS, MN 55421-3159
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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