Organization
LATHAM PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. R PETER MADEL III (GOVERNOR)
(507) 835-2800
Entity
Organization
Contact information
Practice address
105 8TH ST NW, WASECA, MN 56093-1907
(507) 835-2800
(507) 833-1391
Mailing address
105 8TH ST NW, WASECA, MN 56093-1907
(507) 835-2800
(507) 833-1391
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
336985
MN
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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