The Legacy of St Michael
NPI #1417289968 in Saint Michael, Minnesota
Provider Information
- NPI Number
- 1417289968
- Entity Type
- Organization
- Organization Name
- The Legacy of St Michael
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Feb 9, 2010
- Last Updated
- Feb 9, 2010
Practice Location
- Address
- 4400 LANGE AVE NE
- City
- Saint Michael
- State
- Minnesota
- ZIP Code
- 55376-9528
- Phone
- (763) 367-0970
Authorized Official
- Name
- HOWIE GROFF
- Title
- PRESIDENT
- Phone
- (952) 888-2923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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