Parmly On the Lake LLC
NPI #1508370412 in Chisago City, Minnesota
Provider Information
- NPI Number
- 1508370412
- Entity Type
- Organization
- Organization Name
- Parmly On the Lake LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 30, 2017
- Last Updated
- Nov 30, 2017
Practice Location
- Address
- 28210 OLD TOWNE RD
- City
- Chisago City
- State
- Minnesota
- ZIP Code
- 55013-9556
- Phone
- (651) 257-0575
Authorized Official
- Name
- MR. JOSH LEGUM
- Title
- CEO
- Phone
- (507) 697-5674
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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