Organization
THE WATERVIEW PINES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH LEGUM (CEO)
(507) 203-1001
Entity
Organization
Contact information
Practice address
1201 8TH ST S, VIRGINIA, MN 55792-3349
(218) 748-7800
Mailing address
638 SOUTHBEND AVE, MANKATO, MN 56001-2168
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
06/18/2019
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