Organization
PARK LANE ESTATES OF PRESTON, LLC
Active
Other names
Park Lane Estates
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULLAHI OMAR (PRESIDENT)
(612) 404-6892
Entity
Organization
Contact information
Practice address
111 FILLMORE PLACE SE, PRESTON, MN 55965
(507) 765-9986
Mailing address
2277 HIGHWAY 36 W STE 300, ROSEVILLE, MN 55113-3830
(612) 404-6892
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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