Organization
PARMLY ON THE LAKE ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA LEGUM (CEO)
(507) 625-8741
Entity
Organization
Contact information
Practice address
28210 OLD TOWNE RD, CHISAGO CITY, MN 55013-9556
(651) 257-0575
Mailing address
638 SOUTHBEND AVE, MANKATO, MN 56001-2168
(507) 203-1000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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