Organization
CRYSTAL SEASONS ALF LLC
Active
Other names
Crystal Seasons Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH LEGUM (MANAGER)
(516) 410-5209
Entity
Organization
Contact information
Practice address
222 S MURPHY ST, LAKE CRYSTAL, MN 56055-2128
(516) 410-5209
Mailing address
4044 GREENWOOD ST, SKOKIE, IL 60076-1942
(516) 410-5209
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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